Organization
FOUR B CORP
Active
Other names
HEN HOUSE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JANICE ARENSON (3RD PARTY ADMIN.)
(913) 573-1294
Entity
Organization
Contact information
Practice address
1015 NE RICE RD, LEES SUMMIT, MO 64086-6360
(816) 525-1479
(816) 525-2639
Mailing address
5300 SPEAKER RD, KANSAS CITY, KS 66106-1050
(913) 573-1294
(913) 551-8580
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
6107
MO
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2631112
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
608884508
—
MO
05
—
628884504
—
MO
Enumeration date
08/20/2006
Last updated
07/27/2016
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