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Contact Information

KIKO ENTERPRISES, LLC
920 H ST CLAIR PLAZA DR
SAINT CLAIR, MO63077
 Phone: 636-629-2022
 Fax: 636-629-2082
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for KIKO ENTERPRISES, LLC

NPI Number 1821162280
LBN Legal business name KIKO ENTERPRISES, LLC
Authorized official MARTIN HINTERLONG - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/20/2006
Last updated 02/23/2017 - About 9 years ago
Identifiers
MO License # 005448
MO Medicaid 602188203
Other 2051500 PK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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