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
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us