Provider Demographics
NPI:1043788250
Name:SCOTLAND COUNTY PHARMACY INC
Entity Type:Organization
Organization Name:SCOTLAND COUNTY PHARMACY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MATT
Authorized Official - Middle Name:W
Authorized Official - Last Name:MCKEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:660-945-3814
Mailing Address - Street 1:445 E GRAND AVE
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:MO
Mailing Address - Zip Code:63555-1562
Mailing Address - Country:US
Mailing Address - Phone:660-465-2400
Mailing Address - Fax:660-465-2600
Practice Address - Street 1:445 E GRAND AVE
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:MO
Practice Address - Zip Code:63555
Practice Address - Country:US
Practice Address - Phone:660-465-2400
Practice Address - Fax:660-465-2600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-06
Last Update Date:2018-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy