Organization
COMMUNITY PHARMACY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORI MARIE BARTLETT RPH (VICE PRESIDENT)
(417) 667-6044
Entity
Organization
Contact information
Practice address
900 S ADAMS ST, NEVADA, MO 64772-3210
(417) 667-6044
(417) 667-0544
Mailing address
900 S ADAMS ST, NEVADA, MO 64772-3210
(417) 667-6044
(417) 667-0544
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
002727
MO
Other
Enumeration date
03/22/2007
Last updated
11/27/2007
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