CLARK COUNTY PHARMACY INC NPI 1669651907

NPI Information

NPI: 1669651907
Provider Name: CLARK COUNTY PHARMACY INC
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Doing Business As: SCOTLAND COUNTY PHARMACY
CLIA Number: 26D2230655
Address: 111 E MONROE ST
MEMPHIS, MO
ZIP 63555
Phone: (660) 465-2400

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NPI Details

CLARK COUNTY PHARMACY INC is a durable medical equipment medical supplies in Memphis, MO. The provider is 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. CLARK COUNTY PHARMACY INC NPI is 1669651907. The provider is registered as an organization entity type.
The provider Is Doing Business As Scotland County Pharmacy.

The provider's business location address is:

111 E MONROE ST
MEMPHIS, MO
ZIP 63555-437
Phone: (660) 465-2400
Fax: (660) 465-2600

The provider's authorized official is Mary M Turner .
The authorized official title is Billing Agent and has the following contact phone number (660) 465-2400.

The CLIA number assigned to this NPI record is 26D2230655 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/2/2007 and was last updated on 11/2/2007.

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
1	332B00000X	Durable Medical Equipment & Medical Supplies				Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1301610002	MEDICARE NSC

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: 11/21/2025

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