Organization
FOUR B CORP
Active
Parent organization
FOUR B CORP
Other names
Price Chopper Pharmacy #11
Organization subpart
Yes
Provider details
NPI number
Legal business name
FOUR B CORP
Authorized official
JANICE HUMPHREYS (THIRD PARTY ADMIN)
(913) 573-1294
Entity
Organization
Contact information
Practice address
207 NE ENGLEWOOD RD, KANSAS CITY, MO 64118-4586
(816) 452-8845
(816) 452-6794
Mailing address
5830 WOODSON ST, MISSION, KS 66202-2746
(913) 573-1294
(913) 551-8580
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2001025634
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2048728
PK
—
05
—
605679604
—
MO
05
—
625679600
—
MO
Enumeration date
08/20/2006
Last updated
08/20/2026
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