Medicine Shoppe 1376
LBN: De Soto Drug Co Inc
Medicine Shoppe 1376 is an health care organization with primary practice located at 100 N Main St , De Soto MO 63020-1709. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
De Soto Drug Co Inc can be contacted via phone (636) 586-5533, or through Argana, Charles Anthony via phone (636) 586-5533.
Contact Information
Primary practice address
100 N Main St
De Soto MO 63020-1709
Phone: (636) 586-5533
Fax: (636) 337-5533
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | 004653 | Missouri |
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 004653 | Missouri |
| Suppliers / Long Term Care Pharmacy | 3336L0003X | 004653 | Missouri |
Profile Details
| NPI number | 1922170711 |
|---|---|
| LBN Legal business name | De Soto Drug Co Inc |
| DBA Doing business as | Medicine Shoppe 1376 |
| Authorized official | Argana, Charles Anthony R.PH. |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922170711 | NPPES |
| Missouri | MEDICAID | 600285001 | |
| Missouri | Other | 2605939 |
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