Prescription Drug Store Llc in Caruthersville - Long Term Care Pharmacy
Prescription Drug Store Llc - NPI 1497790968
Prescription Drug Store Llc is a Long Term Care Pharmacy in Caruthersville, Missouri. Prescription Drug Store Llc practices all healthcare services and medical treatments related to Long Term Care Pharmacy. The NPI Number for Prescription Drug Store Llc is 1497790968. The last update date is 2022-01-28.
Prescription Drug Store Llc's current location address is 410 Ward Ave, Caruthersville, Missouri. You can contact this provider via phone number 5733334890 and fax number 5733330306. The mailing address for Prescription Drug Store Llc is 410 Ward Ave, Caruthersville, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Prescription Drug Store Llc |
|---|---|
| Address | 410 Ward Ave, Caruthersville, Missouri |
| Phone Number | 5733334890 |
| Fax Number | 5733330306 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER / PH |
|---|---|
| Authorized Official Name | Dudley Alan Shane |
| Credentials | RPH |
| Telephone Number | 5733334890 |
NPI Number Detail
| NPI Number | 1497790968 |
|---|---|
| Provider Enumeration Date | 2006-06-18 |
| Last Updated Date | 2022-01-28 |
Provider Mailing Address Detail
| Address | 410 Ward Ave |
|---|---|
| City | Caruthersville |
| State | Missouri (MO) |
| Post Code | 63830 |
| Phone Number | 5733334890 |
| Fax Number | 5733330306 |
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 |
|---|---|---|---|
| 600126106 | MO | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Prescription Drug Store Llc by the Centers for Medicare & Medicaid Services?
The Prescription Drug Store Llc has been issued the NPI (National Provider Identifier) 1497790968. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Prescription Drug Store Llc located?
The Prescription Drug Store Llc is located at 410 Ward Ave, Caruthersville, MO 63830.
What is the Prescription Drug Store Llc's area of specialization and corresponding taxonomy classification?
The Prescription Drug Store Llc'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 Drug Store Llc's 1497790968 issued?
The Prescription Drug Store Llc's 1497790968 was issued on 2006-06-18.
When was the information regarding Prescription Drug Store Llc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Prescription Drug Store Llc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2022-01-28.
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