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Organization
PHELPS COUNTY REGIONAL MEDICAL CENTER
Active
Organization
PHELPS COUNTY REGIONAL MEDICAL CENTER
Active
Other names
Phelps Health Employee Pharmacy, Phelps Health Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
KREIG L MOORE R.PH., 340B ACE (EXEC DIR 340B & PHARM BUSN STRATEGY)
(573) 458-7892
Entity
Organization
Contact information
Practice address
1050 W 10TH ST STE 101, ROLLA, MO 65401-2905
(573) 458-8899
(573) 426-3451
Mailing address
1050 W 10TH ST STE 101, ROLLA, MO 65401-2905
(573) 458-8899
(573) 426-3451
Taxonomy
Speciality
Code
Description
License number
State
282NR1301X
Rural Acute Care Hospital
005887
MO
333600000X
Pharmacy
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2630300
NABP NUMBER
MO
05
—
600419105
—
MO
Enumeration date
09/12/2006
Last updated
10/01/2026
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