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LETASSY HEALTH SERVICES NPI 1780603969


NPI Information

NPI: 1780603969
Provider Name: LETASSY HEALTH SERVICES
Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
1002 W PINE ST
POPLAR BLUFF, MO
ZIP 63901
Phone: (573) 785-0048
Get Directions

LETASSY HEALTH SERVICES is a long term care pharmacy pharmacy in Poplar Bluff, 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, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. LETASSY HEALTH SERVICES NPI is 1780603969. The provider is registered as an organization entity type.

The provider's business location address is:

1002 W PINE ST
POPLAR BLUFF, MO
ZIP 63901-840
Phone: (573) 785-0048
Fax: (573) 785-0459

The provider's authorized official is David T Letassy .
The authorized official title is Rph and has the following contact phone number (573) 785-0048.

The enumeration date for this NPI number is 7/19/2006 and was last updated on 10/8/2009.


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
1251K00000XPublic Health or Welfare854887502MISSOURINo
2332BN1400XDurable Medical Equipment & Medical SuppliesNursing Facility Supplies622577708MISSOURINo
33336L0003XPharmacyLong Term Care Pharmacy004918MISSOURIYes

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
1602577702MEDICAIDMISSOURI
2854887502MEDICAIDMISSOURI
32920190001MEDICARE NSCMISSOURI
4622577708MEDICAIDMISSOURI

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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