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Organization
FOUR B CORP
Active
Organization
FOUR B CORP
Active
Parent organization
FOUR B CORP
Other names
Price Chopper Pharmacy
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
520 S COMMERCIAL ST, HARRISONVILLE, MO 64701-1634
(816) 380-8037
(816) 887-4330
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
20090028980
MO
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2118998
PK
—
05
—
606411700
—
MO
Enumeration date
02/20/2009
Last updated
08/20/2026
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