Thayer Drug Store LLC
Organization Active NPI Community/Retail Pharmacy · Thayer, MO
NPI 1326110396 · NPPES record last updated Oct 11, 2016
Key facts
- NPI
- 1326110396
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 2006034249 (MO)
- Legal business name
- THAYER DRUG STORE LLC
- Practice address
- 623 S 6TH St
Thayer, MO 65791-1436 - Phone
- (417) 264-3784
- Fax
- (417) 264-3794
- NPI assigned
- Nov 15, 2006
- Organization subpart
- No
Authorized official
- Name
- Ginny Alford, RPH
- Title
- Owner Pharmacist
- Phone
- (417) 264-3784
National Provider Directory
Locations
623 S 6th St
Thayer, MO 65791
Phone (417) 264-3784
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 2006034249 | MO | Yes |
| Long Term Care Pharmacy | 3336L0003X |
Addresses
Primary practice location
623 S 6TH St
Thayer, MO 65791-1436
Mailing address
623 S 6TH St
Thayer, MO 65791-1436
Phone (417) 264-3784
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2049527 | Other | PK |
Other names
- THAYER DRUG STORE
Other providers in Thayer, MO
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- Shena Lee Stevenson
- Morgan Stone
- Thayer No 1 Inc
- Thayer R-II School District
- Meghan Thompson
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- Melissa Wright
All providers in Thayer, MO · Community/Retail Pharmacy in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 11, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.