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GUARDIAN PHARMACY OF MISSOURI LLC NPI 1326490376


NPI Information

NPI: 1326490376
Provider Name: GUARDIAN PHARMACY OF MISSOURI LLC

Doing Business As: GUARDIAN PHARMACY OF MISSOURI

Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

CLIA Number: 26D2189297

Address:
2107 E ROCKHURST ST STE C
SPRINGFIELD, MO
ZIP 65802
Phone: (417) 864-5873
Get Directions

GUARDIAN PHARMACY OF MISSOURI LLC is a long term care pharmacy pharmacy in Springfield, MO. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. GUARDIAN PHARMACY OF MISSOURI LLC NPI is 1326490376. The provider is registered as an organization entity type.
The provider Is Doing Business As Guardian Pharmacy Of Missouri.

The provider's business location address is:

2107 E ROCKHURST ST STE C
SPRINGFIELD, MO
ZIP 65802-502
Phone: (417) 864-5873
Fax: (417) 864-5874

The provider's authorized official is Michael Counts .
The authorized official title is President and has the following contact phone number (417) 864-5873.

The CLIA number assigned to this NPI record is 26D2189297 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/1/2016 and was last updated on 10/30/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336L0003XPharmacyLong Term Care Pharmacy2016023396MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12166287OTHERPK
21326490376MEDICAIDMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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