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Contact Information

BORING REXALL DRUG
161 W MAIN
WARSAW, MO65355
 Phone: 660-438-5162
 Fax: 660-438-5083
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for BORING REXALL DRUG

NPI Number 1043309263
LBN Legal business name BORING REXALL DRUG
Authorized official DANA KOLL - (PHARMAIST)
Entity Organization
Organization subpart 1 No
Enumeration date 10/12/2006
Last updated 04/18/2017 - About 9 years ago
Identifiers
MO License # 2004006506
MO Medicaid 6000988000
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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