Organization
HERMANN PHARMACY INC
Active
Other names
HERMANN PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN JOHN PHARMD (PHARMACIST IN CHARGE)
(573) 486-8999
Entity
Organization
Contact information
Practice address
2060 VILLAGE LN, HERMANN, MO 65041-1592
(573) 486-8999
(573) 486-8998
Mailing address
2060 VILLAGE LN, HERMANN, MO 65041-1592
(573) 486-8999
(573) 486-8998
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2004029892
MO
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2049051
PK
—
05
—
606158707
—
MO
Enumeration date
12/11/2006
Last updated
11/15/2016
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