Provider Demographics
NPI:1417756859
Name:NOBLE DRUG, INC.
Entity type:Organization
Organization Name:NOBLE DRUG, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER/PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:SHANNON
Authorized Official - Middle Name:
Authorized Official - Last Name:WELCH
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:573-836-8040
Mailing Address - Street 1:932 N BUSINESS ROUTE 5
Mailing Address - Street 2:
Mailing Address - City:CAMDENTON
Mailing Address - State:MO
Mailing Address - Zip Code:65020-2648
Mailing Address - Country:US
Mailing Address - Phone:573-836-8040
Mailing Address - Fax:573-836-8045
Practice Address - Street 1:932 N BUSINESS ROUTE 5
Practice Address - Street 2:
Practice Address - City:CAMDENTON
Practice Address - State:MO
Practice Address - Zip Code:65020-2648
Practice Address - Country:US
Practice Address - Phone:573-836-8040
Practice Address - Fax:573-836-8045
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NOBLE DRUG INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-03-10
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy