Organization
ST. JOHN'S REGIONAL HEALTH CENTER
Active
Other names
St. John's Pharmacy-Lebanon
Organization subpart
No
Provider details
NPI number
Authorized official
ROB SHOCKLEY (REATIL COORDINATOR)
(417) 820-6624
Entity
Organization
Contact information
Practice address
200 HOSPITAL DR, LEBANON, MO 65536-9215
(417) 533-6770
(417) 533-6777
Mailing address
200 HOSPITAL DR, LEBANON, MO 65536-9215
(417) 533-6770
(417) 533-6777
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
006619
MO
Other
Enumeration date
08/29/2007
Last updated
08/29/2007
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