Medicare Equipment Supplier ID: 20478209
Supplier Business Name: SHELL KNOB PHARMACY LLC
Medicare’s Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program
changes the amount paid by Medicare for certain DMEPOS items. Under this program, suppliers submit bids
to provide specific medical equipment and supplies to people with Medicare living in or visiting,
competitive bidding areas. These bids are used by Medicare to set the amount it pays for each item.
| Field Name |
Field Value |
| Supplier ID | 20478209 |
| Company Name | SHELL KNOB PHARMACY LLC |
| Doing Business As (DBA) | PLAZA PHARMACY |
| Participation Begin Date | 2016-05-01 |
| Address Line | 24832 STATE HIGHWAY 39 |
| City | SHELL KNOB |
| State | MO |
| Zip | 65747-8417 |
| Phone Number | 417-858-2200 |
| Specialities List | |
| Product Category Name(s) | - Epoetin
- Immunosuppressive Drugs
- Infusion Drugs
- Nebulizer Drugs
- Oral Anticancer Drugs
- Oral Antiemetic Drugs
|
| Latitude | 36.62571 |
| Longitude | -93.62257 |
| Is Contracted For CBA | False |