Organization
E & S PHARMACY INC
Active
Other names
E & S PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA BATES RPH (CHIEF PHARMACIST/CORPORATE SECRETAR)
(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
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
004301
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2050494
PK
—
05
—
602020008
—
MO
05
—
622040004
—
MO
Enumeration date
08/20/2006
Last updated
04/25/2017
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