Organization
GRAHAMS SOUTHSIDE DRUGS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT B HARTWIG (CO-PRESIDENT/CEO)
(660) 886-5535
Entity
Organization
Contact information
Practice address
103 E MECHANIC ST, HARRISONVILLE, MO 64701-2461
(816) 380-3321
Mailing address
103 E MECHANIC ST, HARRISONVILLE, MO 64701-2461
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
004160
MO
Other
Enumeration date
03/13/2009
Last updated
03/13/2009
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