Organization
SHIELD PHCY INC
Active
Other names
SHIELDS PBA PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY COUNTS RPH (OWNER)
(417) 468-2046
Entity
Organization
Contact information
Practice address
100 S CRITTENDEN ST, MARSHFIELD, MO 65706-2121
(417) 468-2046
(417) 468-2482
Mailing address
100 S CRITTENDEN ST, MARSHFIELD, MO 65706-2121
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
000601
MO
3336C0003X
Community/Retail Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2602185
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
10/03/2006
Last updated
09/11/2025
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