Organization
E & S PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SANDRA J BATES R.PH. (PHARMACIST)
(573) 996-7157
Entity
Organization
Contact information
Practice address
1105 WALNUT ST, DONIPHAN, MO 63935-1339
(573) 996-7157
(573) 996-7526
Mailing address
1105 WALNUT ST, DONIPHAN, MO 63935-1339
(573) 996-7157
(573) 996-7526
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
004301
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
622040004
—
MO
Enumeration date
02/20/2007
Last updated
08/01/2012
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