Organization
TOWN & COUNTRY GROCERS OF FREDERICKTOWN MO INC
Active
Other names
DICUS DRUGS
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA KEMP (PRESIDENT)
(573) 783-5703
Entity
Organization
Contact information
Practice address
210 E MURTA ST, FREDERICKTOWN, MO 63645-1018
(573) 783-2788
(537) 783-7899
Mailing address
210 E MURTA ST, FREDERICKTOWN, MO 63645-1018
(573) 783-2788
(537) 783-7899
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
006148
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2048865
PK
—
05
—
601894405
—
MO
Enumeration date
11/27/2006
Last updated
03/17/2017
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