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Contact Information

NUTS
201 SOUTH U.S. HIGHWAY 60
MARIONVILLE, MO65705
 Phone: 417-258-2526
 Fax: 417-463-2211
 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
Indicates primary specialty

NPI Profile & details for NUTS

NPI Number 1891830238
LBN Legal business name NUTS
Authorized official JOHN TONJUK - (PHARMACIST IN CHARGE)
Entity Organization
Organization subpart 1 No
Enumeration date 02/21/2007
Last updated 08/28/2018 - About 8 years ago
Identifiers
MO License # 005151
MO Medicaid 601199508
Other 2629585 NCPDP NUMBER
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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