Medicine Shoppe

LBN: Crain Moxey Pharm Inc
Medicine Shoppe is an health care organization with primary practice located at 613 S Main St , Sikeston MO 63801-3041. The organization recently has 3 registered licenses in different health care specialties including Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Crain Moxey Pharm Inc can be contacted via phone (573) 472-2622, or through Moxey, Ernie via phone (573) 472-2622.

Contact Information

Primary practice address
613 S Main St Sikeston MO 63801-3041
Phone: (573) 472-2622
Fax: (573) 472-2623
Website:
Map and Directions
Authorized official contact:
Name: Moxey, Ernie RPH
Phone: (573) 472-2622

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X 003799 Missouri
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 003799 Missouri
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1740352533
LBN Legal business name Crain Moxey Pharm Inc
DBA Doing business as Medicine Shoppe
Authorized official Moxey, Ernie RPH
Entity Organization
Organization subpart 1 No
Enumeration date Nov 15th, 2006
Last updated Mar 7th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1740352533 NPPES
Missouri MEDICAID 621176908
Missouri Other 2617578
Missouri MEDICAID 851176909
Missouri MEDICAID 601176902

Popular Providers