Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DAN MCHAN STORE IN
Deactivated OrganizationDAN MCHAN STORE IN is a Pharmacist organization located in BOLIVAR, Missouri. NPI 1063557874 is deactivated in the NPPES registry. Verify at CMS.
Pharmacist · BOLIVAR, MO
This NPI has been deactivated.
The record was deactivated on May 2, 2008.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1063557874
- Provider Type
- Organization
- NPI Issued
- Feb 20, 2007 (1.1967213114754 yrs)
- Last Updated
- May 6, 2008
- Deactivated
- May 2, 2008
- License
-
006087 (MO)
Practice Information
- Address
-
103 E BROADWAYBOLIVAR, MO, 656131621Browse MO providers · Browse ZIP 65613
- Phone
- 4173267666
- Fax
- 4177778073
- Primary Specialty
-
Pharmacist
183500000X
Other Pharmacist Organizations in BOLIVAR, MO
| Name | NPI |
|---|---|
| DAN MCHANS STORE INC | 1275601353 |
| CITIZENS MEMORIAL HEALTHCARE DISTRICT | 1548475403 |
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.