Organization
FOXS DRUG STORE INC
Active
Other names
FOXS DRUG STORE INC
Organization subpart
No
Provider details
NPI number
Authorized official
GARY FOX (PRES)
(816) 353-1600
Entity
Organization
Contact information
Practice address
10004 E 63RD ST, RAYTOWN, MO 64133-5102
(816) 353-1600
(816) 353-1630
Mailing address
10004 E 63RD ST, RAYTOWN, MO 64133-5102
(816) 353-1600
(816) 353-1630
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
003930
MO
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2049357
PK
—
05
—
601586803
—
MO
Enumeration date
12/06/2006
Last updated
09/11/2014
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