Organization
GILLEN PHARMACY INC
Active
Other names
Gillen Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
LEANNE DICKERSON DPH (OWNER)
(816) 884-4559
Entity
Organization
Contact information
Practice address
2820 E ROCK HAVEN RD STE 110, HARRISONVILLE, MO 64701-4413
(816) 884-5115
(816) 884-4559
Mailing address
2820 E ROCK HAVEN RD STE 110, HARRISONVILLE, MO 64701-4413
(816) 884-5115
(816) 884-4559
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2002016484
MO
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2048908
PK
—
05
—
600309702
—
MO
Enumeration date
01/25/2006
Last updated
09/19/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us