Organization
DEJACE ENTERPRISES INC
Active
Parent organization
DEJACE ENTERPRISES INC
Other names
Elsberry Pharmacy LTC
Organization subpart
Yes
Provider details
NPI number
Legal business name
DEJACE ENTERPRISES INC
Authorized official
DR. ANDREW OSTERKAMP PHARMD (PHARMACIST)
(573) 898-2550
Entity
Organization
Contact information
Practice address
106 BROADWAY ST STE A, ELSBERRY, MO 63343-1345
(573) 898-2550
(573) 898-5730
Mailing address
106 BROADWAY ST STE A, ELSBERRY, MO 63343-1345
(573) 898-2550
(573) 898-5730
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
04/27/2023
Last updated
04/27/2023
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