# COX WALNUT LAWN PHARMACY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841406667
- **Authorized official:** MR. BOB BEZANSON (PRESIDENT & CEO)
- **Authorized official phone:** (417) 269-6107

## Contact information

- **Practice address:** 1000 E WALNUT LAWN ST, SPRINGFIELD, MO 65807-7313
- **Practice address phone:** (417) 269-9892
- **Mailing address:** 1423 N JEFFERSON AVE, SPRINGFIELD, MO 65802-1917

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 500-0 | MO | Yes |

## Other

- **Enumeration date:** 05/16/2007
- **Last updated:** 08/22/2020