Organization
MCWHIRT-GIBSON INCORPORATION
Active
Other names
MEDICAL CENTER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN KNORP (OWNER)
(660) 826-2626
Entity
Organization
Contact information
Practice address
1700 S INGRAM AVE, SEDALIA, MO 65301-7536
(660) 826-2626
(660) 826-4329
Mailing address
1700 S INGRAM AVE, SEDALIA, MO 65301-7536
(660) 826-2626
(660) 826-4329
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
005615
MO
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
600130009
—
MO
Enumeration date
12/15/2006
Last updated
03/09/2020
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