Organization
POPLAR BLUFF REGIONAL MEDICAL CENTER
Active
Other names
Piedmont Family Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY PARRY ESQ (SR VP AND GENERAL COUNSEL)
(239) 598-3176
Entity
Organization
Contact information
Practice address
1 HALS PLAZA, PIEDMONT, MO 63957
(573) 686-5311
Mailing address
1 HALS PLAZA, PIEDMONT, MO 63957
(573) 686-5311
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
600242507
—
MO
Enumeration date
06/14/2006
Last updated
02/18/2009
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