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AUBURN PHARMACY INC NPI 1457458069


NPI Information

NPI: 1457458069
Provider Name: AUBURN PHARMACY INC

Doing Business As: AUBURN PHARMACY #255

Classification: Pharmacy - 333600000X
Entity Type: Organization

CLIA Number: 26D2205825

Address:
54B SE 1ST LN
LAMAR, MO
ZIP 64759
Phone: (417) 682-5838
Get Directions

AUBURN PHARMACY INC is a pharmacy in Lamar, MO. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. AUBURN PHARMACY INC NPI is 1457458069. The provider is registered as an organization entity type.
The provider Is Doing Business As Auburn Pharmacy #255.

The provider's business location address is:

54B SE 1ST LN
LAMAR, MO
ZIP 64759-226
Phone: (417) 682-5838
Fax: (417) 682-5811

The provider's authorized official is Michael W Burns .
The authorized official title is Owner/ceo and has the following contact phone number (785) 448-3600.

The CLIA number assigned to this NPI record is 26D2205825 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/19/2006 and was last updated on 6/4/2020.


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
13336C0003XPharmacyCommunity/Retail PharmacyNo
23336C0004XPharmacyCompounding PharmacyNo
3333600000XPharmacy2017039555MISSOURIYes

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
12170615OTHERPK
2601400302MEDICAIDMISSOURI

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: 4/28/2024

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