Organization · Type 2 NPI

Prescription Drug Store

Community/Retail Pharmacy · Hayti, MO

NPI number 1235175100 Active

Practice location

308 E Main St
Hayti, MO 63851-1639

Fax (573) 359-6376

Specialties and licenses

Taxonomy	Code	License
Community/Retail Pharmacy Primary	3336C0003X	004067 (MO)

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

3 other providers at this address

Other community/retail pharmacy providers in Hayti

Donna Ring CorporationCommunity/Retail Pharmacy Hayti, MO NPI 1669517215

See all in Hayti →

NPI record

NPI: 1235175100
Entity type: Organization (Type 2)
Issued: Jun 21, 2006
Last updated: Mar 24, 2021
Status: Active
Subpart: Yes of Jerry Kelly Dudley

Other names

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Prescription Drug Store #2 · other name
Prescription Drug Store #2 · other name

Authorized official

Shane Dudley
Owner/pharmacist
(573) 359-0009

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1235175100

Prescription Drug Store's National Provider Identifier is 1235175100, issued on Jun 21, 2006. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Hayti, MO. The record was last updated on Mar 24, 2021.