Organization
MAIN SAIL ENTERPRISES-DOWNTOWN LLC
Active
Other names
dba DOWNTOWN PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES DAVID KERR RPH (MEMBER)
(417) 343-0635
Entity
Organization
Contact information
Practice address
655 S CAMPBELL AVE, SPRINGFIELD, MO 65806-2901
(417) 343-0635
Mailing address
2101 W CHESTERFIELD BLVD, SUITE C100-125, SPRINGFIELD, MO 65807-6946
(417) 343-0635
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
2015012288
MO
Other
Enumeration date
05/06/2015
Last updated
05/06/2015
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