Organization
DOWEL LLC
Active
Other names
Medicine Shoppe 1573
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER MCGINNIS (CFO)
(660) 584-7779
Entity
Organization
Contact information
Practice address
810 W 35TH ST, STE 101, HIGGINSVILLE, MO 64037-1872
(660) 584-2700
(660) 584-3073
Mailing address
810 W 35TH ST, STE 101, HIGGINSVILLE, MO 64037-1872
(660) 584-2700
(660) 584-3073
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2016027105
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2049631
PK
—
Enumeration date
02/29/2008
Last updated
09/08/2016
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