Organization
PRESCRIPTICARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS G SQUIRES R.PH. (MANAGER)
(816) 231-2330
Entity
Organization
Contact information
Practice address
3545 BROADWAY ST, KANSAS CITY, MO 64111-2501
(816) 231-2330
(816) 483-2301
Mailing address
3545 BROADWAY ST, KANSAS CITY, MO 64111-2501
(816) 231-2330
(816) 483-2301
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
2002001504
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2631871
NCPDP
—
Enumeration date
12/14/2006
Last updated
08/22/2020
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