Prescription Drug Store
NPI #1952554693 in Caruthersville, Missouri
Provider Information
- NPI Number
- 1952554693
- Entity Type
- Organization
- Organization Name
- Prescription Drug Store
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- PRESCRIPTION DRUG STORE LLC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Oct 28, 2008
- Last Updated
- Apr 9, 2021
Practice Location
- Address
- 410 WARD AVE
- City
- Caruthersville
- State
- Missouri
- ZIP Code
- 63830-1451
- Phone
- (573) 333-4890
Authorized Official
- Name
- SHANE A DUDLEY
- Title
- OWNER
- Phone
- (573) 333-4890
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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