Dicus Drug

LBN: Town & Country Grocers Of Fredericktown Mo Inc
Dicus Drug is an health care organization with primary practice located at 125 W Karsch Blvd , Farmington MO 63640-2156. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Town & Country Grocers Of Fredericktown Mo Inc can be contacted via phone (573) 756-5425, or through Kemp, Linda via phone (573) 783-5703.

Contact Information

Primary practice address
125 W Karsch Blvd Farmington MO 63640-2156
Phone: (573) 756-5425
Fax: (573) 756-7455
Website:
Map and Directions
Authorized official contact:
Name: Kemp, Linda
Phone: (573) 783-5703

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 2003009671 Missouri

Profile Details

NPI number 1619043379
LBN Legal business name Town & Country Grocers Of Fredericktown Mo Inc
DBA Doing business as Dicus Drug
Authorized official Kemp, Linda
Entity Organization
Organization subpart 1 No
Enumeration date Nov 27th, 2006
Last updated Feb 22nd, 2017 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1619043379 NPPES
Missouri MEDICAID 60093207
Missouri Other 2048856

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