Organization
GARDNER PHARMACY SERVICES, INC.
Active
Other names
Green Hills Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT SPENCER R.PH. (EXEX. VICE PRESIDENT)
(660) 258-2122
Entity
Organization
Contact information
Practice address
206 N MAIN ST, BROOKFIELD, MO 64628-1644
(660) 258-2122
(660) 258-7338
Mailing address
206 N MAIN ST, BROOKFIELD, MO 64628-1644
(660) 258-2122
(660) 258-7338
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
042291
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
625350608
—
MO
Enumeration date
02/28/2007
Last updated
10/27/2008
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