Town & Country Grocers of Fredericktown MD INC
NPI #1174728745 in Fredericktown, Missouri
Provider Information
- NPI Number
- 1174728745
- Entity Type
- Organization
- Organization Name
- Town & Country Grocers of Fredericktown MD INC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Jun 15, 2007
- Last Updated
- Nov 18, 2009
Practice Location
- Address
- 210 E MURTA ST
- City
- Fredericktown
- State
- Missouri
- ZIP Code
- 63645-1018
- Phone
- (573) 783-2788
Authorized Official
- Name
- MR. JEREMY I LEACH, RPH
- Title
- PHARMACIST-IN-CHARGE
- Phone
- (573) 783-2788
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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