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Contact Information

ALLIANT LTC PHARMACY LLC
5497 N 17TH ST
OZARK, MO65721-7663
 Phone: 417-485-6200
 Fax: 417-485-6201
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for ALLIANT LTC PHARMACY LLC

NPI Number 1306324173
LBN Legal business name ALLIANT LTC PHARMACY LLC
Authorized official MARK MCMULLIN - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/02/2018
Last updated 10/13/2021 - About 5 years ago
Identifiers
MO Medicaid 1306324173
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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