Prescription Shop, Inc in Coffeyville - Long Term Care Pharmacy
Prescription Shop, Inc - NPI 1619966272
Prescription Shop, Inc is a Long Term Care Pharmacy in Coffeyville, Kansas. Prescription Shop, Inc practices all healthcare services and medical treatments related to Long Term Care Pharmacy. The NPI Number for Prescription Shop, Inc is 1619966272. The last update date is 2016-04-11.
Prescription Shop, Inc's current location address is 601 W 11th St, Coffeyville, Kansas. You can contact this provider via phone number 6202511620 and fax number 6202514730. The mailing address for Prescription Shop, Inc is 601 W 11th St, Coffeyville, Kansas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Prescription Shop, Inc |
|---|---|
| Address | 601 W 11th St, Coffeyville, Kansas |
| Phone Number | 6202511620 |
| Fax Number | 6202514730 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Defever Alan |
| Credentials | RPH |
| Telephone Number | 9135150462 |
NPI Number Detail
| NPI Number | 1619966272 |
|---|---|
| Provider Enumeration Date | 2005-10-17 |
| Last Updated Date | 2016-04-11 |
Provider Mailing Address Detail
| Address | 601 W 11th St |
|---|---|
| City | Coffeyville |
| State | Kansas (KS) |
| Post Code | 673375025 |
| Phone Number | 6202511620 |
| Fax Number | 6202514730 |
Provider's Primary Taxonomy Detail
| Speciality | Long Term Care Pharmacy |
|---|---|
| Taxonomy | 3336L0003X |
|
Definition: 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 congregat |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100434720B | KS | -- | |
| 100434720A | KS | -- | |
| 2030507 | PK |
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What is the unique 10-digit identifier code issued to Prescription Shop, Inc by the Centers for Medicare & Medicaid Services?
The Prescription Shop, Inc has been assigned the NPI (National Provider Identifier) 1619966272 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Prescription Shop, Inc located?
The Prescription Shop, Inc is located at 601 W 11Th St, Coffeyville, KS 673375025.
What is the Prescription Shop, Inc's area of specialization and corresponding taxonomy classification?
The Prescription Shop, Inc's specialty field is Long Term Care Pharmacy, and it falls under the taxonomy code 3336L0003X, which categorizes healthcare providers based on their specialties.
When was the Prescription Shop, Inc's 1619966272 issued?
The Prescription Shop, Inc's 1619966272 was issued on 2005-10-17.
When was the information related to Prescription Shop, Inc most recently updated or refreshed?
The details pertaining to the Prescription Shop, Inc, including its address, specialty, and other relevant information, were last updated or refreshed on 2016-04-11.
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