Provider Demographics
NPI:1982690384
Name:D&H PRESCRIPTION DRUG COMPANY INC
Entity Type:Organization
Organization Name:D&H PRESCRIPTION DRUG COMPANY INC
Other - Org Name:D & H DRUGSTORE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:J DARRAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ALBERTY
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:573-442-6105
Mailing Address - Street 1:1001 W BROADWAY
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MO
Mailing Address - Zip Code:65203-2121
Mailing Address - Country:US
Mailing Address - Phone:573-777-7333
Mailing Address - Fax:573-777-7334
Practice Address - Street 1:1001 W BROADWAY
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65203-2121
Practice Address - Country:US
Practice Address - Phone:573-777-7333
Practice Address - Fax:573-777-7334
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-21
Last Update Date:2022-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
MO0033853336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3336C0003XSuppliersPharmacyCommunity/Retail PharmacyGroup - Single Specialty
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO600093108Medicaid
2048647OtherPK
MO0407060001Medicare NSC
MO620093120Medicaid
MO600093108Medicaid
MO000045131Medicare PIN