Organization
STE GENEVIEVE COUNTY MEMORIAL HOSPITAL
Active
Parent organization
STE GENEVIEVE COUNTY MEMORIAL HOSPITAL
Other names
Ste. Genevieve Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
STE GENEVIEVE COUNTY MEMORIAL HOSPITAL
Authorized official
AMANDA WOLK (BUSINESS OFFICE DIRECTOR)
(573) 883-7703
Entity
Organization
Contact information
Practice address
575 PINE DR, STE GENEVIEVE, MO 63670
(573) 883-4415
(573) 883-4420
Mailing address
575 PINE DRIVE, STE GENEVIEVE, MO 63670
(573) 883-4415
(573) 883-4420
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
600091458
—
MO
Enumeration date
01/17/2020
Last updated
01/05/2021
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