Organization
N E MO CLOSED DOOR PHARMACY L L C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES JOHNSTON PHARM D (OWNER)
(660) 699-2432
Entity
Organization
Contact information
Practice address
214B N GRAND ST, CLARENCE, MO 63437-1604
(660) 699-2432
Mailing address
214B N GRAND ST, CLARENCE, MO 63437-1604
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
2007001134
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
626317705
—
MO
Enumeration date
02/07/2007
Last updated
10/03/2022
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