Bourbon Drugs Inc is a Pharmacy in Bourbon, Missouri. Bourbon Drugs Inc practices all healthcare services and medical treatments related to Pharmacy. The NPI Number for Bourbon Drugs Inc is 1649391020. The last update date is 2011-10-10.
Bourbon Drugs Inc's current location address is Po Box 70, Bourbon, Missouri. You can contact this provider via phone number 5737324921 and fax number 5737323640. The mailing address for Bourbon Drugs Inc is Po Box 70, Bourbon, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Bourbon Drugs Inc |
|---|---|
| Address | Po Box 70, Bourbon, Missouri |
| Phone Number | 5737324921 |
| Fax Number | 5737323640 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PIC |
|---|---|
| Authorized Official Name | Burnett Thomas |
| Credentials | RPH |
| Telephone Number | 5737324921 |
NPI Number Detail
| NPI Number | 1649391020 |
|---|---|
| Provider Enumeration Date | 2007-04-03 |
| Last Updated Date | 2011-10-10 |
Provider Mailing Address Detail
| Address | Po Box 70 |
|---|---|
| City | Bourbon |
| State | Missouri (MO) |
| Post Code | 654410070 |
| Phone Number | 5737324921 |
| Fax Number | 5737323640 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacy |
|---|---|
| Taxonomy | 333600000X |
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Definition: 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 presc |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 600247431 | MO | -- | |
| 2614926 | NCPDP PROVIDER IDENTIFICATION |
Post Comment/ Review Below
What is the Bourbon Drugs Inc's unique identification number?
The Bourbon Drugs Inc has been assigned the NPI (National Provider Identifier) Number 1649391020 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Bourbon Drugs Inc is geographically located?
The Bourbon Drugs Inc is physically situated at the following location: Po Box 70, Bourbon, MO, 654410070.
What is the Bourbon Drugs Inc's area of specialization and corresponding taxonomy classification?
The Bourbon Drugs Inc's specialty field is Pharmacy, and it falls under the taxonomy code 333600000X, which categorizes healthcare providers based on their specialties.
When was the Bourbon Drugs Inc's 1649391020 issued?
The Bourbon Drugs Inc's 1649391020 was issued on 2007-04-03.
As of what date were the details pertaining to Bourbon Drugs Inc last refreshed?
The information related to the Bourbon Drugs Inc, including its address, specialty, and other relevant details, was last updated on 2011-10-10.
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