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Organization
BDS PHARMACEUTICAL INC
Active
Organization
BDS PHARMACEUTICAL INC
Active
Other names
GRAIN VALLEY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
BRYON CONRAD RPH (PIC)
(816) 847-9200
Entity
Organization
Contact information
Practice address
1400 SW EAGLES PKWY, GRAIN VALLEY, MO 64029-8508
(816) 847-9200
(816) 847-9210
Mailing address
1400 SW EAGLES PKWY, PO BOX 329, GRAIN VALLEY, MO 64029-8508
(816) 847-9200
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
2002030200
MO
3336C0003X
Community/Retail Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2634827
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
605985100
—
MO
Enumeration date
08/18/2006
Last updated
10/26/2009
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