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Sam's Prescription Shop, Inc.
Long Term Care Pharmacy in Fayette, Missouri
NPI 1558814939

Sam's Prescription Shop, Inc. is a Long Term Care Pharmacy based in Moberly, MO and is specialized in Long Term Care Pharmacy. Sam's Prescription Shop, Inc. practices in Fayette, MO. The NPI Number for Sam's Prescription Shop, Inc. is 1558814939 and holds a License No. 004390 (Missouri).

The current practice location address for Sam's Prescription Shop, Inc. is 300 N Church St, Fayette, MO and can be reached out via phone at 660-248-2275 and via fax at 660-248-2858.

Location: 300 N Church St, Fayette, MO, 65270-0957
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1558814939
Provider Name
Sam's Prescription Shop, Inc.
Credential
Provider Entity Type
Organization
Address
300 N Church St, Fayette, MO, 65270-0957
Phone Number
660-248-2275
Fax Number
660-248-2858
Provider Enumeration Date
08/02/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
600061113 05 MO
2162344 01 PK
institution
Provider Business Practice Location Address Details
Address
300 N Church St
City
Fayette
State
Missouri
Zip
65248-1106
Phone Number
660-248-2275
Fax Number
660-248-2858
person
Provider Business Mailing Address Details
Address
300 N Church St
City
Fayette
State
Missouri
Zip
65248-1106
Phone Number
660-248-2275
Fax Number
660-248-2858
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
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Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
Long Term Care Pharmacy
Taxonomy
3336L0003X
License No.
004390 (Missouri)
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
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