Organization
PRESCRIPTION DRUG STORE
Active
Parent organization
PRESCRIPTION DRUG STORE LLC
Other names
Prescription Drug Store
Organization subpart
Yes
Provider details
NPI number
Legal business name
PRESCRIPTION DRUG STORE LLC
Authorized official
SHANE A DUDLEY (OWNER)
(573) 333-4890
Entity
Organization
Contact information
Practice address
308 E MAIN ST, HAYTI, MO 63851-1639
(573) 359-0008
(573) 359-6376
Mailing address
308 E MAIN ST, HAYTI, MO 63851-1639
(573) 359-0008
(573) 359-6376
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
620126110
—
MO
Enumeration date
10/28/2008
Last updated
04/09/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
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