Organization
JOHN'S RX LTC FARMINGTON, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABE FUNK PHARMD (OWNER)
(573) 334-1300
Entity
Organization
Contact information
Practice address
516 W PINE ST, FARMINGTON, MO 63640-1426
(573) 713-4004
(573) 713-4001
Mailing address
2001 INDEPENDENCE ST, CAPE GIRARDEAU, MO 63703-5805
(573) 334-1300
(314) 627-4565
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
07/05/2024
Last updated
07/05/2024
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