Organization
BDS PHARMACEUTICAL INC
Active
Other names
Grain Valley Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE E LANGEVIN OWNER (PHARMACY MANAGER)
(816) 847-9200
Entity
Organization
Contact information
Practice address
1400 SW EAGLES PARKWAY, GRAIN VALLEY, MO 64029
(816) 847-9200
(816) 847-9210
Mailing address
1400 SW EAGLES PARKWAY, GRAIN VALLEY, MO 64029
(816) 847-9200
(816) 847-9210
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
2002030200
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
605985100
—
MO
Enumeration date
09/12/2006
Last updated
01/15/2009
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