Perryville Healthcare Corporation
Pharmacy
212 Hospital Ln Ste 102, Perryville
Missouri, 63775-4204
573-547-4960 573-547-6540
Perryville Healthcare Corporation is an authorized DME supplier for medicare equipments and products.
Perryville Healthcare Corporation is a Pharmacy in Perryville, Missouri. This organization is also known as sub part of Perry County Health System. It is located at 212 Hospital Ln Ste 102, Perryville and it's customer support contact number is 573-547-4960. The authorized person of Perryville Healthcare Corporation is Mr. Dana S. Cover, RPH who is Pharmacist In Charge of the pharmacy and his contact number is 573-547-4960. Active license number of Perryville Healthcare Corporation is 006636 for Pharmacy in Missouri. Perryville Healthcare Corporation accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Perryville Healthcare Corporation is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
Pharmacy Details:
Perryville Healthcare Corporation type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Perryville Healthcare Corporation |
| Type: | Pharmacy |
| Location: | 212 Hospital Ln Ste 102, Perryville, Missouri, 63775-4204 |
| Phone: | 573-547-4960 |
| Fax: | 573-547-6540 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Mr. Dana S. Cover |
| Credentials: | RPH |
| Position: | Pharmacist In Charge |
| Contact Number: | 573-547-4960 |
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 pharmacy are as mentioned below.
| NPI Number: | 1508965534 |
| Parent Organization: | Perry County Health System |
| NPI Enumeration Date: | 22 Sep, 2006 |
| NPI Last Update On: | 07 Mar, 2023 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Perryville Healthcare Corporation are as mentioned below.
| Specialization | License Number | State | Status | |
| Pharmacy | 006636 | Missouri | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 604688606 | Medicaid | Missouri | |
| 2632722 | Other | Missouri | Nabp Number |
Medicare Enrollment:
Perryville Healthcare Corporation is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 1153231725 | O20110726000058 | Perryville Healthcare Corporation | PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY) |
Products Available:
Perryville Healthcare Corporation has following products available for sale under medicare.
| Products: |
|---|
| • Blood Glucose Monitors & Supplies: Non-mail Order | • Canes & Crutches |
| • Diabetic Shoes & Inserts: Prefabricated | • Heat & Cold Applications |
| • Surgical Dressings | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 212 Hospital Ln, Suite 102 Perryville, Missouri |
| Zip: | 63775-1276 |
| Phone Number: | 573-547-4960 |
| Fax Number: | 573-547-6540 |
Patients can reach Perryville Healthcare Corporation at
212 Hospital Ln Ste 102, Perryville, Missouri or can
call on customer care at 573-547-4960.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.