Organization
SHIELDS PHARMACY, INC.
Active
Other names
SHIELDS PHARMACY-STRAFFORD
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL CARTER COUNTS PHARM.D. (MANAGER)
(417) 736-9781
Entity
Organization
Contact information
Practice address
423 E OLD ROUTE 66, STRAFFORD, MO 65757-7817
(417) 736-9781
(417) 736-9783
Mailing address
100 S CRITTENDEN ST, MARSHFIELD, MO 65706-2121
(417) 468-2046
(417) 468-2482
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
2007022190
MO
3336C0003X
Community/Retail Pharmacy
Primary
2007022190
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2637493
NCPDP
—
Enumeration date
07/27/2007
Last updated
07/27/2007
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