Healthcare Provider Details

I. General information

NPI: 1629147921
Provider Name (Legal Business Name): MAYS DRUG STORES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/08/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1410 EAST 7TH STREET
JOPLIN MO
64801
US

IV. Provider business mailing address

2100 BROOKWOOD DR
LITTLE ROCK AR
72202-1734
US

V. Phone/Fax

Practice location:
  • Phone: 417-624-3270
  • Fax: 417-623-0652
Mailing address:
  • Phone: 501-296-3312
  • Fax: 501-296-3310

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number000373
License Number StateMO

VIII. Authorized Official

Name: DAVID T STROUD
Title or Position: VP PHARMACY SERVICES
Credential: RPH
Phone: 501-296-3312