Shell Knob Pharmacy LLC

Community/Retail Pharmacy · Shell Knob, MO

Organization Active NPI

NPI number 1518980986

Practice location

24832 State Highway 39
Shell Knob, MO 65747-8417

Phone: (417) 858-2200
Fax: (417) 858-2216

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NPI record

NPI: 1518980986
Entity type: Organization (Type 2)
Enumeration date: July 25, 2006
Last updated: November 18, 2022
Certified: November 18, 2022
Organization subpart: No

Specialties & taxonomy codes

Taxonomy	Code	License	State
Community/Retail Pharmacy Primary	`3336C0003X`	2016013824	MO
Pharmacy	`333600000X`	—	—

Mailing address

PO Box 419
Shell Knob, MO 65747-0419

Phone: (417) 858-2200
Fax: (417) 858-2216

Authorized official

Name: Cong Dang
Title: Owner
Phone: (417) 766-6990

Other names

Plaza Pharmacy
Plaza Pharmacy

About Shell Knob Pharmacy LLC

Shell Knob Pharmacy LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Community/Retail Pharmacy (code 3336C0003X). The practice location is 24832 State Highway 39, Shell Knob, MO 65747-8417. The NPI number 1518980986 was assigned on July 25, 2006 and the record was last updated on November 18, 2022.

Shell Knob Pharmacy LLC lists a license in the registry: #2016013824 (MO) for Community/Retail Pharmacy. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Cong Dang, Owner.

Frequently asked questions

What is the NPI number of Shell Knob Pharmacy LLC?

The NPI number is 1518980986.

What is the phone number of Shell Knob Pharmacy LLC?

The phone number listed for the practice location is (417) 858-2200.

Where is Shell Knob Pharmacy LLC located?

24832 State Highway 39, Shell Knob, MO 65747-8417.

What is the taxonomy code for Shell Knob Pharmacy LLC?

The primary taxonomy code is 3336C0003X – Community/Retail Pharmacy; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.