Organization
NEW MADRID PHARMACY INC
Active
Other names
New Madrid Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES SMALL PHARMD (PRESIDENT/OWNER)
(573) 748-3080
Entity
Organization
Contact information
Practice address
457 MAIN ST, NEW MADRID, MO 63869-1739
(573) 748-3080
(573) 748-2000
Mailing address
PO BOX 35, NEW MADRID, MO 63869-0035
(573) 748-3080
(573) 748-2000
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2014030752
MO
3336L0003X
Long Term Care Pharmacy
—
—
Other
Enumeration date
06/13/2014
Last updated
04/14/2017
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