Organization
MAIN STREET RX, LLC
Active
Organization
MAIN STREET RX, LLC
Active
Other names
Main Street Pharmacy LTC
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN HUBBARD (OWNER)
(573) 649-9229
Entity
Organization
Contact information
Practice address
117 E MAIN ST, EAST PRAIRIE, MO 63845-1136
(573) 649-9229
Mailing address
117 E MAIN ST, EAST PRAIRIE, MO 63845-1136
(573) 649-9229
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
01/29/2024
Last updated
01/29/2024
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