Organization
PHARM JOPLIN ACQUISITION, LLC
Active
Other names
The Medicine Shoppe Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW FINN (ACCOUNT MANAGER)
(817) 840-7514
Entity
Organization
Contact information
Practice address
2131 E 32ND ST STE 3, JOPLIN, MO 64804-3074
(417) 781-2332
(417) 659-8344
Mailing address
2131 E 32ND ST STE 3, JOPLIN, MO 64804-3074
(417) 781-2332
(417) 659-8344
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2015000056
MO
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2150667
PK
—
Enumeration date
12/26/2006
Last updated
10/11/2019
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