1578754701 OLD TOWN PHARMACY LLC
Community/Retail Pharmacy
Active
Basic Information
- Organization Name
- OLD TOWN PHARMACY LLC
- Enumeration Date
- August 5, 2007
- Last Update
- June 4, 2024
- Authorized Official
- MR. SHANE MICHAEL BECKER PHARMD RPH
OWNER/MANAGER/PIC
Phone: (417) 635-1100
Practice Location
- Address
- 100A CHAPEL DRIVE
MONETT, MO 65708 - Phone
- (417) 635-1100
- Fax
- (417) 635-1103
Mailing Address
- Address
- 100A CHAPEL DR
MONETT, MO 65708 - Phone
- (417) 635-1100
- Fax
- (417) 635-1103
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Community/Retail Pharmacy Community/Retail Pharmacy | 3336C0003X | Pharmacy | 2007022497 | MO | No |
| Long Term Care Pharmacy Long Term Care Pharmacy | 3336L0003X | Pharmacy | N/A | N/A | No |
| Community/Retail Pharmacy Community/Retail Pharmacy | 3336C0003X | Pharmacy | 2014010847 | MO | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2007022497 | 01 | MO | PHARMACY LIC |
| 19735928 | 05 | MO | N/A |
| 2637506 | 01 | N/A | NCPDP |
Frequently Asked Questions
What is OLD TOWN PHARMACY LLC's NPI number?
OLD TOWN PHARMACY LLC's NPI number is 1578754701.
Which doctor has NPI number 1578754701?
The doctor with NPI number 1578754701 is OLD TOWN PHARMACY LLC.
What is OLD TOWN PHARMACY LLC's practice address?
OLD TOWN PHARMACY LLC's practice address is 100A CHAPEL DRIVE, MONETT, MO, 65708.
Which doctor practices at 100A CHAPEL DRIVE, MONETT, MO, 65708?
OLD TOWN PHARMACY LLC practices at 100A CHAPEL DRIVE, MONETT, MO, 65708.
What is OLD TOWN PHARMACY LLC's mailing address?
OLD TOWN PHARMACY LLC's mailing address is 100A CHAPEL DR, MONETT, MO, 65708.
What is OLD TOWN PHARMACY LLC's phone number?
OLD TOWN PHARMACY LLC's phone number is (417) 635-1100.
Who is (417) 635-1100?
(417) 635-1100 is the phone number for OLD TOWN PHARMACY LLC.
What is OLD TOWN PHARMACY LLC's specialty?
OLD TOWN PHARMACY LLC's specialty is Community/Retail Pharmacy.
What type of doctor is OLD TOWN PHARMACY LLC?
OLD TOWN PHARMACY LLC is a Community/Retail Pharmacy.
Is OLD TOWN PHARMACY LLC a Community/Retail Pharmacy?
Yes, OLD TOWN PHARMACY LLC is a Community/Retail Pharmacy.
Is OLD TOWN PHARMACY LLC still practicing?
Yes, OLD TOWN PHARMACY LLC is currently practicing.
Is OLD TOWN PHARMACY LLC accepting new patients?
OLD TOWN PHARMACY LLC may be accepting new patients. Please call their office at (417) 635-1100 to inquire about availability.
Is NPI 1578754701 still active?
Yes, NPI 1578754701 is currently active.
Where does OLD TOWN PHARMACY LLC practice?
OLD TOWN PHARMACY LLC practices in MONETT, MO.