Main Street Pharmacy

LBN: Main Street Rx
Main Street Pharmacy is an health care organization with primary practice located at 117 E Main St , East Prairie MO 63845-1136. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Main Street Rx can be contacted via phone (573) 649-9229, or through Wood, Kevin via phone (573) 335-8207.

Contact Information

Primary practice address
117 E Main St East Prairie MO 63845-1136
Fax:
Website:
Authorized official contact:
Name: Wood, Kevin PHARMD

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1295366797
LBN Legal business name Main Street Rx
DBA Doing business as Main Street Pharmacy
Authorized official Wood, Kevin PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Feb 3rd, 2020
Last updated Jun 16th, 2020 - about 4 years ago

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.

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