Provider Demographics
NPI:1144316886
Name:PHARMACY OPERATIONS, INC
Entity type:Organization
Organization Name:PHARMACY OPERATIONS, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:A/R SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:
Authorized Official - Last Name:HOBDY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-872-5539
Mailing Address - Street 1:1100 NORTH LINDBERGH
Mailing Address - Street 2:
Mailing Address - City:ST. LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63132
Mailing Address - Country:US
Mailing Address - Phone:800-325-1397
Mailing Address - Fax:
Practice Address - Street 1:53 MAIN STREET
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:MA
Practice Address - Zip Code:01062
Practice Address - Country:US
Practice Address - Phone:413-584-9252
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2939333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0448184Medicaid
MA0584270045Medicare ID - Type UnspecifiedPART B SUPPLIER#