Organization
FOUR B CORP
Active
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 HUMPHREYS (THIRD PARTY ADMIN)
(913) 573-1294
Entity
Organization
Contact information
Practice address
2107 S 4TH ST, LEAVENWORTH, KS 66048-4555
(913) 651-6134
(913) 651-4004
Mailing address
5830 WOODSON ST, MISSION, KS 66202-2746
(913) 573-1294
(913) 551-8580
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2-09297
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100439460A
—
KS
05
—
100439460B
—
KS
01
—
2025811
PK
—
Enumeration date
08/20/2006
Last updated
08/20/2026
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