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TOWN & COUNTRY GROCERS OF FREDERICKTOWN MO INC NPI 1619043379


NPI Information

NPI: 1619043379
Provider Name: TOWN & COUNTRY GROCERS OF FREDERICKTOWN MO INC

Doing Business As: DICUS DRUG

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
125 W KARSCH BLVD
FARMINGTON, MO
ZIP 63640
Phone: (573) 756-5425
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TOWN & COUNTRY GROCERS OF FREDERICKTOWN MO INC is a community/retail pharmacy pharmacy in Farmington, MO. The provider is 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 health care providers, collaborative practice, disease state management, and education classes. TOWN & COUNTRY GROCERS OF FREDERICKTOWN MO INC NPI is 1619043379. The provider is registered as an organization entity type.
The provider Is Doing Business As Dicus Drug.

The provider's business location address is:

125 W KARSCH BLVD
FARMINGTON, MO
ZIP 63640-156
Phone: (573) 756-5425
Fax: (573) 756-7455

The provider's authorized official is Linda Kemp .
The authorized official title is President and has the following contact phone number (573) 783-5703.

The enumeration date for this NPI number is 11/27/2006 and was last updated on 2/22/2017.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail Pharmacy2003009671MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
160093207MEDICAIDMISSOURI
21253710004MEDICARE NSC
32048856OTHERPK

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: 11/14/2023

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