Prescription Drug Store
NPI #1235175100 in Hayti, Missouri
Provider Information
- NPI Number
- 1235175100
- Entity Type
- Organization
- Organization Name
- Prescription Drug Store
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- JERRY KELLY DUDLEY
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Jun 21, 2006
- Last Updated
- Mar 24, 2021
Practice Location
Authorized Official
- Name
- SHANE DUDLEY
- Title
- OWNER/PHARMACIST
- Phone
- (573) 359-0009
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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