Provider Demographics
NPI:1003897679
Name:D&S DRUG LLC
Entity Type:Organization
Organization Name:D&S DRUG LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:PAULINDA
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:SCHUMER
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:573-614-4243
Mailing Address - Street 1:PO BOX 667
Mailing Address - Street 2:
Mailing Address - City:DEXTER
Mailing Address - State:MO
Mailing Address - Zip Code:63841-0667
Mailing Address - Country:US
Mailing Address - Phone:573-614-4243
Mailing Address - Fax:573-614-4292
Practice Address - Street 1:1226 W BUS HIGHWAY 60
Practice Address - Street 2:
Practice Address - City:DEXTER
Practice Address - State:MO
Practice Address - Zip Code:63841-2706
Practice Address - Country:US
Practice Address - Phone:573-614-4243
Practice Address - Fax:573-614-4292
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:D&S DRUG LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2005-11-09
Last Update Date:2008-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO625307301Medicaid
MO605307305Medicaid
MO605307305Medicaid