PAMIDA STORES OPERATING CO LLC
1021 W Buchanan St
California, MO 65018
573-796-8002
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 3336C0003X | Suppliers - Pharmacy - Community/Retail Pharmacy | MO | 2006008264 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
602586109 | MO | MEDICAID | |
NCPDP | 2635449 | OTHER |