Organization
TALLY'S INC
Active
Other names
MEDICAP PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN MARK TALLY JR. RPH (OWNER PHARMACIST)
(573) 335-1002
Entity
Organization
Contact information
Practice address
1020 N KINGSHIGHWAY ST, CAPE GIRARDEAU, MO 63701-3503
(573) 335-1002
(573) 335-8259
Mailing address
1020 N KINGSHIGHWAY ST, CAPE GIRARDEAU, MO 63701-3503
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
4874
MO
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2625385
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
12/26/2006
Last updated
03/07/2023
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