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DAN MCHANS STORE INC NPI 1275601353


NPI Information

NPI: 1275601353
Provider Name: DAN MCHANS STORE INC

Doing Business As: DAN ANS STANS PHARMACY

Classification: Pharmacist - 183500000X
Entity Type: Organization
Address:
103 E BROADWAY ST
BOLIVAR, MO
ZIP 65613
Phone: (417) 326-7666
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DAN MCHANS STORE INC is a pharmacist in Bolivar, MO. The provider is an individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. DAN MCHANS STORE INC NPI is 1275601353. The provider is registered as an organization entity type.
The provider Is Doing Business As Dan Ans Stans Pharmacy.

The provider's business location address is:

103 E BROADWAY ST
BOLIVAR, MO
ZIP 65613-621
Phone: (417) 326-7666
Fax: (417) 777-8073

The provider's authorized official is Dan Roy Mchan .
The authorized official title is Owner and has the following contact phone number (417) 326-7666.

The enumeration date for this NPI number is 11/30/2006 and was last updated on 5/1/2008.


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
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2183500000XPharmacist006087MISSOURIYes

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
11228120001MEDICARE NSCMISSOURI
22604925OTHERNCPDP
3600135305MEDICAIDMISSOURI

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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