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Organization

MAIN SAIL ENTERPRISES LLC

Active
Other names
SARCOXIE PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
CHARLES KERR (OWNER)
(417) 548-7184
Entity
Organization

Contact information

Practice address
1408 HIGH ST, SARCOXIE, MO 64862-8323
(417) 548-7184
(417) 548-7404
Mailing address
PO BOX 267, SARCOXIE, MO 64862-0267
(417) 548-7184
(417) 548-7404

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
2012010519
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2631770
NCPDP PROVIDER IDENTIFICATION NUMBER
Enumeration date
01/11/2007
Last updated
09/12/2012
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