Prescription Drug Store LLC
NPI #1497790968 in Caruthersville, Missouri
Provider Information
- NPI Number
- 1497790968
- Entity Type
- Organization
- Organization Name
- Prescription Drug Store LLC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Jun 18, 2006
- Last Updated
- Jan 28, 2022
Practice Location
- Address
- 410 WARD AVE
- City
- Caruthersville
- State
- Missouri
- ZIP Code
- 63830
- Phone
- (573) 333-4890
Authorized Official
- Name
- MR. SHANE ALAN DUDLEY, RPH
- Title
- OWNER / PHARMACIST
- Phone
- (573) 333-4890
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Long Term Care Pharmacy — Long Term Care Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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