Downtown Pharmacy

LBN: Teaco, Inc
Downtown Pharmacy is an health care organization with primary practice located at 123 1St St , Kennett MO 63857-2051. The organization recently has only one registered license in Suppliers / Pharmacy, which is considered as the primary health care specialty. Teaco, Inc can be contacted via phone (573) 888-9094, or through Maddox, Jerid via phone (573) 888-6673.

Contact Information

Primary practice address
123 1St St Kennett MO 63857-2051
Phone: (573) 888-9094
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Maddox, Jerid PHARM.D.
Phone: (573) 888-6673

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X

Profile Details

NPI number 1003234931
LBN Legal business name Teaco, Inc
DBA Doing business as Downtown Pharmacy
Authorized official Maddox, Jerid PHARM.D.
Entity Organization
Organization subpart 1 No
Enumeration date Mar 28th, 2014
Last updated Mar 28th, 2014 - about 10 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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