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SIKESTON PHARMACY LLC NPI 1316614001


NPI Information

NPI: 1316614001
Provider Name: SIKESTON PHARMACY LLC
Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

CLIA Number: 26D2189042

Address:
507 N MAIN ST
SIKESTON, MO
ZIP 63801
Phone: (573) 471-4401
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SIKESTON PHARMACY LLC is a long term care pharmacy pharmacy in Sikeston, MO. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. SIKESTON PHARMACY LLC NPI is 1316614001. The provider is registered as an organization entity type.

The provider's business location address is:

507 N MAIN ST
SIKESTON, MO
ZIP 63801-105
Phone: (573) 471-4401
Fax: (573) 471-5448

The provider's authorized official is Casey Duncan .
The authorized official title is Operations Manager and has the following contact phone number (573) 576-6562.

The CLIA number assigned to this NPI record is 26D2189042 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/30/2021 and was last updated on 8/30/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336L0003XPharmacyLong Term Care PharmacyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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