Provider Demographics
NPI:1710156112
Name:DOWEL LLC
Entity Type:Organization
Organization Name:DOWEL LLC
Other - Org Name:MEDICINE SHOPPE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MONICA
Authorized Official - Middle Name:
Authorized Official - Last Name:RITTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-532-0977
Mailing Address - Street 1:810 W 35TH ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:HIGGINSVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:64037-1872
Mailing Address - Country:US
Mailing Address - Phone:660-584-7779
Mailing Address - Fax:
Practice Address - Street 1:1103 S 169 HIGHWAY
Practice Address - Street 2:
Practice Address - City:SMITHVILLE
Practice Address - State:MO
Practice Address - Zip Code:64089
Practice Address - Country:US
Practice Address - Phone:816-532-0977
Practice Address - Fax:816-532-8444
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-29
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO332B00000X
MO20080037013336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO2637859OtherNCPDP
MO2637859OtherNCPDP
MO2637859OtherNCPDP
MO6117120004Medicare NSC