Organization
CITIZENS MEMORIAL HEALTH CARE FOUNDATION
Active
Other names
CMH Osceola Community Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD BABB (CHIEF EXECUTIVE OFFICER)
(417) 326-6000
Entity
Organization
Contact information
Practice address
855 ARDUSER DR, OSCEOLA, MO 64776-6278
(417) 646-5052
(417) 646-5149
Mailing address
1500 N OAKLAND AVE, BOLIVAR, MO 65613-3011
(417) 326-6000
(417) 328-6242
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
2014038932
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2149497
PK
—
Enumeration date
12/05/2014
Last updated
07/28/2016
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