National Provider Identifier Database

HEALTH CARE PHARMACY OF PERRYVILLE LLC
Long Term Care Pharmacy

A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.


Contact Information

HEALTH CARE PHARMACY OF PERRYVILLE, LLC
628 N OLD ST MARYS RD
PERRYVILLE, MO63775
Phone: 573-547-2517
Fax:
Website:
Specialty Taxonomy Code
* Long Term Care Pharmacy 3336L0003X
Community/Retail Pharmacy 3336C0003X

* Indicates primary specialty

NPI Profile & details for HEALTH CARE PHARMACY OF PERRYVILLE, LLC

NPI Number 1902461908
Legal business name
LBN
HEALTH CARE PHARMACY OF PERRYVILLE, LLC
Authorized official SAVANNA GROGG - (MANAGER)
Entity Organization
Organization subpart No
Enumeration date 05/06/2019
Last updated 12/03/2021 - About 5 years ago
Sole proprietor1 Not specified
Identifiers
  • MO Medicaid: 600123608

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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