Northwest Pharmacy, Inc, NPI 1245364066
Durable Medical Equipment & Medical Supplies in Poplar Bluff, MO, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1245364066 |
| NPI Entity Type | Organization |
| Provider Name | Northwest Pharmacy, Inc |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 2210 Barron Rd, Poplar Bluff, MO, US |
| Provider Mailing Address | 2210 Barron Rd, Poplar Bluff, MO, US, 639011908 |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | MR. RPH Mark T Kleinbeck |
| Official Position | PRESIDENT |
| Phone | 573-686-6211 |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Durable Medical Equipment & Medical Supplies |
| Classification | |
| Group | |
| License No. | 620059725 |
| License State | MO |
| Description | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 620059725 | MO | MEDICAID | 05 |
| 1902974140 | MO | RX NPI | 01 |
| BN8927406 | MO | DEA | 01 |
| 2004019998 | MO | MO PHARMACY PERMIT | 01 |
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