Organization
ALTENBURG PHARMACY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABRAHAM FUNK PHARMD (OWNER)
(573) 334-1300
Entity
Organization
Contact information
Practice address
8491 MAIN ST, ALTENBURG, MO 63732-6169
(573) 824-8888
Mailing address
2001 INDEPENDENCE ST, CAPE GIRARDEAU, MO 63703-5805
(573) 334-1300
(573) 334-0493
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Enumeration date
04/12/2022
Last updated
04/22/2022
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