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 ARENSON (3RD PARTY ADMIN.)
(913) 573-1294
Entity
Organization
Contact information
Practice address
8430 WORNALL RD, KANSAS CITY, MO 64114-5812
(816) 361-5000
(816) 361-2642
Mailing address
5300 SPEAKER RD, KANSAS CITY, KS 66106-1050
(913) 573-1294
(913) 551-8580
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5644
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2047136
PK
—
05
—
603529603
—
MO
05
—
623529609
—
MO
Enumeration date
08/20/2006
Last updated
07/27/2016
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