Provider Demographics
NPI:1700923745
Name:POIRIER PHARMACY, INC.
Entity Type:Organization
Organization Name:POIRIER PHARMACY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JO ANN
Authorized Official - Middle Name:R
Authorized Official - Last Name:POIRIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-324-5955
Mailing Address - Street 1:PO BOX 128
Mailing Address - Street 2:102 SO 5TH ST
Mailing Address - City:SAVANNAH
Mailing Address - State:MO
Mailing Address - Zip Code:64485-0128
Mailing Address - Country:US
Mailing Address - Phone:816-324-5955
Mailing Address - Fax:816-324-6429
Practice Address - Street 1:102 SO 5TH ST
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:MO
Practice Address - Zip Code:64485-0128
Practice Address - Country:US
Practice Address - Phone:816-324-5955
Practice Address - Fax:816-324-6429
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2002022436332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies