Organization
NORTHWEST HEALTH SERVICES INC
Active
Other names
Family Medicine Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MATT YOUNGER (CEO)
(816) 232-6818
Entity
Organization
Contact information
Practice address
2303 VILLAGE DR SUITE B, SAINT JOSEPH, MO 64506-4954
(816) 307-0800
(816) 233-6477
Mailing address
2303 VILLAGE DR, SAINT JOSEPH, MO 64506-4954
(816) 307-0800
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14381109
STATE TAX ID
MO
01
—
2645654
NCPDP
—
05
—
600066160
—
MO
Enumeration date
12/17/2018
Last updated
03/02/2026
Update your record
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