Organization · Type 2 NPI

Prescription Drug Store

Durable Medical Equipment & Medical Supplies · Hayti, MO

NPI number 1861645509 Active

Practice location

308 E Main St
Hayti, MO 63851-1639

Fax (573) 359-6376

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies Primary	332B00000X	None listed

Durable Medical Equipment & Medical Supplies: A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

3 other providers at this address

Other durable medical equipment & medical supplies providers in Hayti

See all in Hayti →

NPI record

NPI: 1861645509
Entity type: Organization (Type 2)
Issued: Oct 28, 2008
Last updated: Apr 9, 2021
Status: Active
Subpart: Yes of Prescription Drug Store LLC

Other names

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Prescription Drug Store · doing business as
Prescription Drug Store · doing business as

Authorized official

Shane A Dudley
Owner
(573) 333-4890

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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 1861645509

Prescription Drug Store's National Provider Identifier is 1861645509, issued on Oct 28, 2008. The primary taxonomy on file is Durable Medical Equipment & Medical Supplies (332B00000X), and the practice location is in Hayti, MO. The record was last updated on Apr 9, 2021.