Old Town Pharmacy Number 2 LLC
NPI #1164976999 in Pierce City, Missouri
Provider Information
- NPI Number
- 1164976999
- Entity Type
- Organization
- Organization Name
- Old Town Pharmacy Number 2 LLC
- Primary Specialty
- Pharmacy
- Enumeration Date
- Aug 10, 2016
- Last Updated
- Aug 31, 2016
Practice Location
- Address
- 119 E MAIN ST
- City
- Pierce City
- State
- Missouri
- ZIP Code
- 65723-1228
- Phone
- (417) 476-2828
Authorized Official
- Name
- SHANE BECKER
- Title
- OWNER
- Phone
- (417) 476-2828
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
| Pharmacy - Long Term Care Pharmacy — Long Term Care Pharmacy |
| Pharmacy |
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