Prescription Shop Inc
Long Term Care Pharmacy
601 W 11th St, Coffeyville
Kansas, 67337-5025
620-251-1620 620-251-4730
Prescription Shop Inc is a Long Term Care Pharmacy in Coffeyville, Kansas. It is located at 601 W 11th St, Coffeyville and it's customer support contact number is 620-251-1620. The authorized person of Prescription Shop Inc is Alan Defever who is Pres of the pharmacy and his contact number is 913-515-0462. Active license number of Prescription Shop Inc is 209131 for Long Term Care Pharmacy in Kansas.
Prescription Shop Inc is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
Pharmacy Details:
Prescription Shop Inc 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: | Prescription Shop Inc |
| Type: | Long Term Care Pharmacy |
| Location: | 601 W 11th St, Coffeyville,
Kansas, 67337-5025 |
| Phone: | 620-251-1620 |
| Fax: | 620-251-4730 |
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: | Alan Defever |
| Position: | Pres |
| Contact Number: | 913-515-0462 |
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: | 1629572730 |
| NPI Enumeration Date: | 22 Mar, 2018 |
| NPI Last Update On: | 22 Mar, 2018 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Prescription Shop Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Long Term Care Pharmacy | 209131 | Kansas | Primary | |
| Pharmacy | | | Secondary | |
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 |
| 100434720A | Medicaid | Kansas | |
| 2176480 | Other | | Pk |
| 100434720B | Medicaid | Kansas | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 601 W 11th St,
Coffeyville, Kansas |
| Zip: | 67337-5025 |
| Phone Number: | 620-251-1620 |
| Fax Number: | 620-251-4730 |
Patients can reach Prescription Shop Inc at
601 W 11th St, Coffeyville, Kansas or can
call on customer care at 620-251-1620.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.