# ST. JOHN'S REGIONAL HEALTH CENTER

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

## Provider details

- **NPI number:** 1427241066
- **Authorized official:** ROB SHOCKLEY (RETAIL PHARMACY COORDINATOR)
- **Authorized official phone:** (417) 820-6624

## Contact information

- **Practice address:** 3231 S NATIONAL AVE, SPRINGFIELD, MO 65807-7304
- **Practice address phone:** (417) 841-0116
- **Practice address fax:** (417) 888-5609
- **Mailing address:** 3231 S NATIONAL AVE, SPRINGFIELD, MO 65807-7304
- **Mailing address phone:** (417) 841-0116
- **Mailing address fax:** (417) 888-5609

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 183500000X | Pharmacist | 006622 | MO | Yes |

## Other

- **Enumeration date:** 08/27/2007
- **Last updated:** 08/27/2007