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Contact Information

50-PLUS LTC PHARMACY
209 1/2 W LEXINGTON AVE
INDEPENDENCE, MO64050-3709
 Phone: 816-833-5060
 Fax: 816-461-0638
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
 

Nursing Facility Supplies

332BN1400X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for 50-PLUS LTC PHARMACY

NPI Number 1245318252
LBN Legal business name 50-PLUS LTC PHARMACY
Authorized official JOHN WALKER - (COO)
Entity Organization
Organization subpart 1 No
Enumeration date 11/01/2006
Last updated 06/22/2012 - About 14 years ago
Identifiers
MO License # 2000154001
MO Medicaid 604898809
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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