Organization
ORCHARD HILLS COMPOUNDING, INC.
Active
Other names
Orchard Hills Compounding
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY J GOETZINGER R.PH. (OWNER PHARMACIST)
(417) 868-8288
Entity
Organization
Contact information
Practice address
3816A W CHESTNUT EXPY, SPRINGFIELD, MO 65802-5500
(417) 868-8288
(417) 868-8248
Mailing address
3816A W CHESTNUT EXPY, SPRINGFIELD, MO 65802-5500
(417) 868-8288
(417) 868-8248
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
2004012799
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
606157600
—
MO
Enumeration date
07/19/2006
Last updated
03/07/2023
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