Organization
GOSNEY PHARMACY INC
Active
Other names
Gosney Pharmacy LTC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID BRIAN GSONEY (R.PH.)
(573) 248-8322
Entity
Organization
Contact information
Practice address
2900 SAINT MARYS AVE, HANNIBAL, MO 63401-3715
(573) 248-8322
Mailing address
2900 SAINT MARYS AVE, HANNIBAL, MO 63401-3715
(573) 248-8322
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
6017
MO
3336L0003X
Long Term Care Pharmacy
6017
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
608272902
—
MO
Enumeration date
10/17/2012
Last updated
10/17/2012
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