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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 Specialty Code Provider Type

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
 

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

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

NPI Number 1902461908
LBN Legal business name HEALTH CARE PHARMACY OF PERRYVILLE, LLC
Authorized official SAVANNA GROGG - (MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/06/2019
Last updated 12/03/2021 - About 5 years ago
Identifiers
MO Medicaid 600123608
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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