Provider Demographics
NPI:1629103643
Name:E & D DRUGS,INC.
Entity Type:Organization
Organization Name:E & D DRUGS,INC.
Other - Org Name:DILLE'S DISCOUNT PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GARY
Authorized Official - Middle Name:M
Authorized Official - Last Name:SIMMONS
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:573-785-0984
Mailing Address - Street 1:909 W PINE ST
Mailing Address - Street 2:SUITE 1
Mailing Address - City:POPLAR BLUFF
Mailing Address - State:MO
Mailing Address - Zip Code:63901-4958
Mailing Address - Country:US
Mailing Address - Phone:573-785-0984
Mailing Address - Fax:573-785-2557
Practice Address - Street 1:909 W PINE ST
Practice Address - Street 2:SUITE 1
Practice Address - City:POPLAR BLUFF
Practice Address - State:MO
Practice Address - Zip Code:63901-4958
Practice Address - Country:US
Practice Address - Phone:573-785-0984
Practice Address - Fax:573-785-2557
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO006030183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty