Organization
TOWN PHARMACY INC.
Active
Other names
Town Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CECIL RAY VINCENT SR. R.PH. (OWNER/PHARMACIST)
(573) 568-2643
Entity
Organization
Contact information
Practice address
700 HIGHWAY 25 SOUTH, BLOOMFIELD, MO 63825
(573) 568-2643
(573) 568-3281
Mailing address
P.O. BOX 337, BLOOMFIELD, MO 63825
(573) 568-2643
(573) 568-3281
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
005267
MO
3336L0003X
Long Term Care Pharmacy
Primary
—
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
601504103
—
MO
05
—
621504109
—
MO
Enumeration date
10/25/2006
Last updated
10/25/2016
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