Town & Country Super Market INC

NPI #1083695902 in Dixon, Missouri

Provider Information

NPI Number
1083695902
Entity Type
Organization
Organization Name
Town & Country Super Market INC
Subpart
Yes (part of a larger organization)
Parent Organization
TOWN & COUNTRY SUPER MARKET INC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Nov 8, 2005
Last Updated
Dec 4, 2012

Practice Location

Address
508 E 5TH ST
City
Dixon
ZIP Code
65459-6201
Phone
(573) 759-3073

Authorized Official

Name
MRS. JANET GOTT, RPH
Title
PHARMACY SUPERVISOR
Phone
(573) 729-4091

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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