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Easters Pharmacy

Organization Active NPI Community/Retail Pharmacy · Trenton, MO

NPI 1144347121 · NPPES record last updated Jan 28, 2010

Key facts

NPI
1144347121
Entity type
Organization (NPI type 2)
Primary specialty
Community/Retail Pharmacy 3336C0003X
License
030019 (MO)
Legal business name
EASTERS PHARMACY
Practice address
1705 E 9TH St
Trenton, MO 64683-2641
Phone
(660) 359-2216
Fax
(660) 359-4593
NPI assigned
Mar 23, 2007
Organization subpart
No

Authorized official

Name
David Jennings
Title
Pic/Manager
Phone
(660) 359-2216

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Easter Enterprises Inc (2 organizations share this tax ID)

Locations

1705 E 9th St
Trenton, MO 64683
Phone (660) 359-2216

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 030019 MO Yes

Addresses

Primary practice location

1705 E 9TH St
Trenton, MO 64683-2641

Mailing address

1705 E 9TH St
Trenton, MO 64683-2641
Phone (660) 359-2216

Other identifiers

IdentifierTypeStateIssuer
2615271OtherNCPDP PROVIDER IDENTIFICATION NUMBER
600057905MedicaidMO

Other names

  • EASTERS PHARMACY Doing business as

Other providers in Trenton, MO

All providers in Trenton, MO · Community/Retail Pharmacy in Missouri

Sources for this page

Verify at the official NPI Registry.