Organization
PRIME HEALTHCARE SERVICES - KANSAS CITY, LLC
Active
Other names
St. Joseph Outpatient Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA CARTWRIGHT (CFO)
(816) 943-2819
Entity
Organization
Contact information
Practice address
1000 CARONDELET DR, STE 120, KANSAS CITY, MO 64114-4673
(816) 943-4879
(816) 943-4882
Mailing address
1000 CARONDELET DR, STE 120, KANSAS CITY, MO 64114-4673
(816) 943-4879
(816) 943-4882
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
2015004637
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2153994
PK
—
Enumeration date
09/16/2005
Last updated
11/16/2015
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