Organization
CARTHAGE PHARMACY SERVICES INC
Active
Other names
Hometown Pharmacy #4
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES DAVIN VAUGHN RPH (PRESIDENT/OWNER)
(417) 461-7777
Entity
Organization
Contact information
Practice address
606 E MOUNT VERNON BLVD, MOUNT VERNON, MO 65712-9100
(417) 466-2000
(417) 466-2028
Mailing address
PO BOX 68, MOUNT VERNON, MO 65712-0068
(417) 466-2000
(417) 466-2028
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
2004011847
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
601917503
—
MO
Enumeration date
09/26/2006
Last updated
11/14/2022
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