# PHELPS COUNTY REGIONAL MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Phelps Health Employee Pharmacy, Phelps Health Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871697425
- **Authorized official:** KREIG L MOORE R.PH., 340B ACE (EXEC DIR 340B & PHARM BUSN STRATEGY)
- **Authorized official phone:** (573) 458-7892

## Contact information

- **Practice address:** 1050 W 10TH ST STE 101, ROLLA, MO 65401-2905
- **Practice address phone:** (573) 458-8899
- **Practice address fax:** (573) 426-3451
- **Mailing address:** 1050 W 10TH ST STE 101, ROLLA, MO 65401-2905
- **Mailing address phone:** (573) 458-8899
- **Mailing address fax:** (573) 426-3451

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282NR1301X | Rural Acute Care Hospital | 005887 | MO | — |
| 333600000X | Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 09/12/2006
- **Last updated:** 10/01/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2630300 | NABP NUMBER | MO |
| 05 | — | 600419105 | — | MO |