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 (PHARMACY SUPPORT)
(913) 573-1294
Entity
Organization
Contact information
Practice address
4950 ROE BLVD, ROELAND PARK, KS 66205-1110
(913) 236-2879
(913) 236-2880
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
Primary
2-10003
KS
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100439440C
—
KS
05
—
100439440D
—
KS
01
—
2027341
PK
—
Enumeration date
08/20/2006
Last updated
03/23/2017
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