Healthcare Provider Details

I. General information

NPI: 1386655322
Provider Name (Legal Business Name): TONEYS DRUG & WELLNESS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2006
Last Update Date: 01/15/2020
Certification Date: 01/15/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 HAL'S PLAZA DRIVE
PIEDMONT MO
63957
US

IV. Provider business mailing address

PO BOX 157
PIEDMONT MO
63957
US

V. Phone/Fax

Practice location:
  • Phone: 573-223-4823
  • Fax: 573-223-4823
Mailing address:
  • Phone: 573-223-4823
  • Fax: 573-223-2665

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number2004003549
License Number StateMO

VIII. Authorized Official

Name: JENNY TONEY
Title or Position: MANAGING MEMBER
Credential:
Phone: 573-223-4823