Main Street Pharmacy Llc.
Durable Medical Equipment & Medical Supplies
117 E Main St, East Prairie
Missouri, 63845-1136
573-649-9229 573-649-9230
Main Street Pharmacy Llc. is a Durable Medical Equipment & Medical Supplies in East Prairie, Missouri. It is located at 117 E Main St, East Prairie and it's customer support contact number is 573-649-9229. The authorized person of Main Street Pharmacy Llc. is Tera S Johnson who is Manager of this DME and his contact number is 573-649-9229.
Main Street Pharmacy Llc. is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
DME Supplier Details:
Main Street Pharmacy Llc. type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Main Street Pharmacy Llc. |
| Type: | Durable Medical Equipment & Medical Supplies |
| Location: | 117 E Main St, East Prairie,
Missouri, 63845-1136 |
| Phone: | 573-649-9229 |
| Fax: | 573-649-9230 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Tera S Johnson |
| Position: | Manager |
| Contact Number: | 573-649-9229 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1316928989 |
| NPI Enumeration Date: | 09 Nov, 2005 |
| NPI Last Update On: | 02 Jan, 2013 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Main Street Pharmacy Llc. are as mentioned below.
| Specialization | License Number | State | Status | |
| Durable Medical Equipment & Medical Supplies | | | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 625420401 | Medicaid | Missouri | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 117 E Main St,
East Prairie, Missouri |
| Zip: | 63845-1136 |
| Phone Number: | 573-649-9229 |
| Fax Number: | 573-649-9230 |
Patients can reach Main Street Pharmacy Llc. at
117 E Main St, East Prairie, Missouri or can
call on customer care at 573-649-9229.
Comments/ Reviews:
Read all the reviews posted for Main Street Pharmacy Llc. below. You may also share your own experience with Main Street Pharmacy Llc.. Your feedback can help others make better decisions.
**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.