Organization
TOWN & COUNTRY GROCERS OF FREDERICKTOWN MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEREMY I LEACH RPH (PHARMACIST-IN-CHARGE)
(573) 783-2788
Entity
Organization
Contact information
Practice address
210 E MURTA ST, FREDERICKTOWN, MO 63645-1018
(573) 783-2788
(573) 783-7899
Mailing address
210 E MURTA ST, FREDERICKTOWN, MO 63645-1018
(573) 783-2788
(573) 783-7899
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
006148
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
621894401
—
MO
Enumeration date
06/15/2007
Last updated
11/18/2009
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up