# THE DRIVE-IN PHARMACY INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** DRIVE-IN PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134119043
- **Authorized official:** MR. LARRY F. KIMBEL R.PH. (PRES/CORPORATION)
- **Authorized official phone:** (573) 581-6450

## Contact information

- **Practice address:** 200 E JACKSON ST, MEXICO, MO 65265-2821
- **Practice address phone:** (573) 581-6450
- **Practice address fax:** (573) 581-4692
- **Mailing address:** 200 E JACKSON ST, MEXICO, MO 65265-2821
- **Mailing address phone:** (573) 581-6450
- **Mailing address fax:** (573) 581-4692

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 026810 | MO | Yes |

## Other

- **Enumeration date:** 10/24/2005
- **Last updated:** 03/07/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 026810 | MO.PHARMACY LICENSE | MO |
| 01 | — | 10907 | STATE BNDD NO. | MO |