Organization
ASH GROVE PHARMACY INC
Active
Other names
Ash Grove Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
WHITNEY GROVE (PRES)
(417) 751-2111
Entity
Organization
Contact information
Practice address
490 N MEDICAL DR, ASH GROVE, MO 65604-1004
(417) 751-2111
(417) 751-3112
Mailing address
490 N MEDICAL DR, PO BOX 417, ASH GROVE, MO 65604-1004
(417) 751-2111
(417) 751-3112
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
004465
MO
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
601689003
—
MO
Enumeration date
08/18/2006
Last updated
06/09/2021
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