# ST. JOHN'S REGIONAL HEALTH CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** St. John's Pharmacy-Lebanon
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164616678
- **Authorized official:** ROB SHOCKLEY (REATIL COORDINATOR)
- **Authorized official phone:** (417) 820-6624

## Contact information

- **Practice address:** 200 HOSPITAL DR, LEBANON, MO 65536-9215
- **Practice address phone:** (417) 533-6770
- **Practice address fax:** (417) 533-6777
- **Mailing address:** 200 HOSPITAL DR, LEBANON, MO 65536-9215
- **Mailing address phone:** (417) 533-6770
- **Mailing address fax:** (417) 533-6777

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 183500000X | Pharmacist | 006619 | MO | Yes |

## Other

- **Enumeration date:** 08/29/2007
- **Last updated:** 08/29/2007