Organization
SIKESTON PHARMACY LLC
Active
Other names
Sikeston Medicenter Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD SCHREIBER (PRESIDENT)
(314) 965-4700
Entity
Organization
Contact information
Practice address
507 N MAIN ST, SIKESTON, MO 63801-2105
(573) 471-4401
(573) 471-5448
Mailing address
507 N MAIN ST, SIKESTON, MO 63801-2105
(573) 471-4401
(573) 471-5448
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2015019988
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2152744
PK
—
Enumeration date
11/15/2006
Last updated
01/23/2021
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