Organization · Type 2 NPI

Prescription Drug Store

Durable Medical Equipment & Medical Supplies · Caruthersville, MO

NPI number 1952554693 Active

Practice location

410 Ward Ave
Caruthersville, MO 63830-1451

Fax (573) 333-0306

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.

4 other providers at this address

Other durable medical equipment & medical supplies providers in Caruthersville

Ecb Pharmacy Inc.Durable Medical Equipment & Medical Supplies Caruthersville, MO NPI 1811035298

See all in Caruthersville →

NPI record

NPI: 1952554693
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

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 1952554693

Prescription Drug Store's National Provider Identifier is 1952554693, issued on Oct 28, 2008. The primary taxonomy on file is Durable Medical Equipment & Medical Supplies (332B00000X), and the practice location is in Caruthersville, MO. The record was last updated on Apr 9, 2021.