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TOWN & COUNTRY GROCERS OF FREDERICKTOWN MO INC NPI 1164598827


NPI Information

NPI: 1164598827
Provider Name: TOWN & COUNTRY GROCERS OF FREDERICKTOWN MO INC

Doing Business As: COUNTRY MART PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
50 BERRY RD
BONNE TERRE, MO
ZIP 63628
Phone: (573) 358-0099
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TOWN & COUNTRY GROCERS OF FREDERICKTOWN MO INC is a community/retail pharmacy pharmacy in Bonne Terre, 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 1164598827. The provider is registered as an organization entity type.
The provider Is Doing Business As Country Mart Pharmacy.

The provider's business location address is:

50 BERRY RD
BONNE TERRE, MO
ZIP 63628-373
Phone: (573) 358-0099
Fax: (573) 358-0084

The provider's authorized official is Debbie Brown .
The authorized official title is Supervisor 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 3/23/2017.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail Pharmacy006162MISSOURIYes

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
12047644OTHERPK
2608853404MEDICAIDMISSOURI
31253710005MEDICARE 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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.