Organization
TOWN & COUNTRY GROCERS OF FREDERICKTOWN MO INC
Active
Other names
DICUS DRUG
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA KEMP (PRESIDENT)
(573) 783-5703
Entity
Organization
Contact information
Practice address
125 W KARSCH BLVD, FARMINGTON, MO 63640-2156
(573) 756-5425
(573) 756-7455
Mailing address
125 W KARSCH BLVD, FARMINGTON, MO 63640-2156
(573) 756-5425
(573) 756-7455
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2003009671
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2048856
PK
—
05
—
60093207
—
MO
Enumeration date
11/27/2006
Last updated
02/22/2017
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