Organization
FOUR B CORP
Active
Organization
FOUR B CORP
Active
Parent organization
FOUR B CORP
Other names
PRICE CHOPPER PHARMACY #42
Organization subpart
Yes
Provider details
NPI number
Legal business name
FOUR B CORP
Authorized official
JANICE ARENSON (PIC)
(913) 573-1294
Entity
Organization
Contact information
Practice address
16665 W 151ST ST, OLATHE, KS 66062-5601
(913) 829-5808
(913) 768-3802
Mailing address
5300 SPEAKER RD, KANSAS CITY, KS 66106-1050
(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
2-10164
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100439440I
—
KS
05
—
100439440J
—
KS
01
—
1719319
NCPDP PROVIDER IDENTIFICATION NUMBER
—
01
—
1790953990
NPI
KS
Enumeration date
02/11/2008
Last updated
07/27/2016
Update your record
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