Organization
QUEEN CITY PHARMACIES, LLC
Active
Other names
Medicenter Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
REBEKAH ANN ROSE (OPERATIONS MANAGER)
(417) 881-8841
Entity
Organization
Contact information
Practice address
1474 N BOONVILLE AVE, SPRINGFIELD, MO 65802-1806
(417) 869-1866
(417) 869-6601
Mailing address
1474 N BOONVILLE AVE, SPRINGFIELD, MO 65802-1806
(417) 869-1866
(417) 869-6601
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
006537
MO
3336C0003X
Community/Retail Pharmacy
Primary
2017031169
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2603810
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
600051320
—
MO
Enumeration date
11/15/2006
Last updated
05/01/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us