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Dan Mchans Store Inc
Durable Medical Equipment & Medical Supplies in Bolivar, Missouri
NPI 1275601353

Dan Mchans Store Inc is a Durable Medical Equipment & Medical Supplies based in Bolivar, MO. Dan Mchans Store Inc practices in Bolivar, MO. The NPI Number for Dan Mchans Store Inc is 1275601353 and holds a License No. 006087 (Missouri).

The current practice location address for Dan Mchans Store Inc is 103 E Broadway St, Bolivar, MO and can be reached out via phone at 417-326-7666 and via fax at 417-777-8073.

Location: 103 E Broadway St, Bolivar, MO, 65613-1621
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1275601353
Provider Name
Dan Mchans Store Inc
Credential
Provider Entity Type
Organization
Address
103 E Broadway St, Bolivar, MO, 65613-1621
Phone Number
417-326-7666
Fax Number
417-777-8073
Provider Enumeration Date
11/30/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
600135305 05 MO
2604925 01 NCPDP
institution
Provider Business Practice Location Address Details
Address
103 E Broadway St
City
Bolivar
State
Missouri
Zip
65613-1621
Phone Number
417-326-7666
Fax Number
417-777-8073
person
Provider Business Mailing Address Details
Address
103 E Broadway St
City
Bolivar
State
Missouri
Zip
65613-1621
Phone Number
417-326-7666
Fax Number
417-777-8073
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
()
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
006087 (Missouri)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
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