Organization
FOUR B CORP
Active
Organization
FOUR B CORP
Active
Parent organization
FOUR B CORP
Other names
Price Chopper Pharmacy #16
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
12220 S US HIGHWAY 71, GRANDVIEW, MO 64030-1130
(816) 777-2448
(816) 777-2579
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
2012012962
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2134824
PK
—
05
—
609256409
—
MO
Enumeration date
05/08/2012
Last updated
08/20/2026
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