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Organization
FOUR B CORP
Active
Organization
FOUR B CORP
Active
Parent organization
FOUR B CORP
Other names
PRICE CHOPPER
Organization subpart
Yes
Provider details
NPI number
Legal business name
FOUR B CORP
Authorized official
JANICE HUMPHREYS (THIRD PARTY ADMIN)
(913) 573-1294
Entity
Organization
Contact information
Practice address
1600 SE BLUE PARKWAY, LEES SUMMIT, MO 64063
(816) 554-2951
(816) 554-2964
Mailing address
5830 WOODSON ST, MISSION, KS 66202-2746
(913) 573-1294
(913) 551-8580
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
6045
MO
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2047576
PK
—
05
—
608863502
—
MO
05
—
628863508
—
MO
Enumeration date
08/20/2006
Last updated
08/20/2026
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