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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 ARENSON (THIRD PARTY ADMINISTRATOR)
(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
5300 SPEAKER RD, KANSAS CITY, KS 66106-1050
(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
10/09/2023
About Stedi
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  • EDI platform