Organization
SUGARSHIR INC
Active
Other names
MEDICINE STORE
Organization subpart
No
Provider details
NPI number
Authorized official
SHIRLEY KRIBBS RPH (PHARMACIST/MANAGER)
(660) 827-2121
Entity
Organization
Contact information
Practice address
704 S HANCOCK AVE, SEDALIA, MO 65301-4638
(660) 827-2121
(660) 826-0687
Mailing address
704 S HANCOCK AVE, SEDALIA, MO 65301-4638
(660) 827-2121
(660) 826-0687
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
004866
MO
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2625347
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
600118707
—
MO
Enumeration date
02/02/2007
Last updated
03/07/2023
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