Organization
ANDLEE
Active
Other names
Paris Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JASON DODGE (OWNER/PHARMACIST)
(660) 327-4514
Entity
Organization
Contact information
Practice address
865 S MAIN ST, PARIS, MO 65275-1178
(660) 327-4514
(660) 327-1333
Mailing address
865 S MAIN ST, PARIS, MO 65275-1178
(660) 327-4514
(660) 327-1333
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2010000018
MO
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2123627
PK
—
05
—
600244701
—
MO
Enumeration date
08/17/2006
Last updated
04/21/2025
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