Organization
BIRDSONG REXALL PHARMACY INC
Active
Other names
BIRDSONG PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
MARY PUND (PRESIDENT)
(636) 271-3450
Entity
Organization
Contact information
Practice address
101 E SAINT LOUIS ST, PACIFIC, MO 63069-1549
(636) 271-3450
(636) 271-7946
Mailing address
101 E SAINT LOUIS ST, PACIFIC, MO 63069-1549
(636) 271-3450
(636) 271-7946
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
002652
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2609254
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
600658009
—
MO
Enumeration date
08/18/2006
Last updated
10/20/2009
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