Prescription Drug Store in Hayti - Community/retail Pharmacy

Prescription Drug Store - NPI 1235175100

Prescription Drug Store is a Community/retail Pharmacy in Hayti, Missouri. Prescription Drug Store practices all healthcare services and medical treatments related to Community/retail Pharmacy. The NPI Number for Prescription Drug Store is 1235175100. The last update date is 2021-03-24.

Prescription Drug Store's current location address is 308 E Main St, Hayti, Missouri. You can contact this provider via phone number 5733590008 and fax number 5733596376. The mailing address for Prescription Drug Store is 308 E Main St, Hayti, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Organization Prescription Drug Store
Address 308 E Main St, Hayti, Missouri
Phone Number 5733590008
Fax Number 5733596376
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER/PHAR
Authorized Official Name Dudley Shane
Telephone Number 5733590009

NPI Number Detail

NPI Number 1235175100
Provider Enumeration Date 2006-06-21
Last Updated Date 2021-03-24

Provider Mailing Address Detail

Address 308 E Main St
City Hayti
State Missouri (MO)
Post Code 638511639
Phone Number 5733590008
Fax Number 5733596376

Provider's Primary Taxonomy Detail

Speciality Community/retail Pharmacy
Taxonomy 3336C0003X
Licence No 4067
Definition:
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing pr

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
600126114 MO --

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FAQs about Prescription Drug Store

What is the Prescription Drug Store's 1235175100?

The Prescription Drug Store's NPI (National Provider Identifier) Number is 1235175100. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Prescription Drug Store?

The Prescription Drug Store is situated at 308 E Main St, in the city of Hayti, state of MO, with the zip code 638511639.

What is the Prescription Drug Store's specialty and taxonomy code?

The Prescription Drug Store's specialty is Community/retail Pharmacy, and the corresponding taxonomy code is 3336C0003X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1235175100 to Prescription Drug Store?

The Centers for Medicare & Medicaid Services originally issued the 1235175100 to Prescription Drug Store on 2006-06-21.

As of what date were the details pertaining to Prescription Drug Store last refreshed?

The information related to the Prescription Drug Store, including its address, specialty, and other relevant details, was last updated on 2021-03-24.

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