Organization
CHRISTIAN HEALTH CARE PHARMACY LLC
Active
Other names
REGIONAL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH ROSENTHAL R.PH. (PIC)
(417) 889-6357
Entity
Organization
Contact information
Practice address
1328 E EVERGREEN ST, SPRINGFIELD, MO 65803-4400
(417) 889-6357
(417) 823-3870
Mailing address
1328 E EVERGREEN ST, SPRINGFIELD, MO 65803-4400
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
2002007189
MO
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146797407
—
AR
01
—
2634447
OTHER ID NUMBER
—
05
—
605687102
—
MO
Enumeration date
01/09/2006
Last updated
03/27/2012
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