Organization
MAIN STREET RX
Active
Other names
Main Street Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN WOOD PHARMD (MEMBER/MANAGER)
(573) 335-8207
Entity
Organization
Contact information
Practice address
117 E MAIN ST, EAST PRAIRIE, MO 63845-1136
(573) 649-9229
Mailing address
37 DOCTORS PARK STE 2, CAPE GIRARDEAU, MO 63703-4903
(573) 334-4432
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
02/03/2020
Last updated
06/16/2020
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