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Organization
THE DRIVE-IN PHARMACY INC.
Active
Organization
THE DRIVE-IN PHARMACY INC.
Active
Other names
DRIVE-IN PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY F. KIMBEL R.PH. (PRES/CORPORATION)
(573) 581-6450
Entity
Organization
Contact information
Practice address
200 E JACKSON ST, MEXICO, MO 65265-2821
(573) 581-6450
(573) 581-4692
Mailing address
200 E JACKSON ST, MEXICO, MO 65265-2821
(573) 581-6450
(573) 581-4692
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
026810
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
026810
MO.PHARMACY LICENSE
MO
01
—
10907
STATE BNDD NO.
MO
Enumeration date
10/24/2005
Last updated
03/07/2023
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