Organization
SHOW ME PHARMACY INC
Active
Other names
DANS DISCOUNT DRUG MART
Organization subpart
No
Provider details
NPI number
Authorized official
JIM MONTGOMERY (PRESIDENT)
(417) 869-9003
Entity
Organization
Contact information
Practice address
2625 N KANSAS EXPY, SPRINGFIELD, MO 65803-1114
(417) 869-9003
(417) 869-0277
Mailing address
2625 N KANSAS EXPY, SPRINGFIELD, MO 65803-1114
(417) 869-9003
(417) 869-0277
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2005010327
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2047241
PK
—
05
—
608016309
—
MO
05
—
628016305
—
MO
Enumeration date
12/13/2006
Last updated
11/06/2013
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