Organization
BORING REXALL DRUG
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANA KOLL (PHARMAIST)
(660) 438-5162
Entity
Organization
Contact information
Practice address
161 W MAIN, WARSAW, MO 65355
(660) 438-5162
(660) 438-5083
Mailing address
161 W MAIN, WARSAW, MO 65355
(660) 438-5162
(660) 438-5083
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
2004006506
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6000988000
—
MO
Enumeration date
10/12/2006
Last updated
04/18/2017
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