Organization
REGIONAL HEALTH CARE CLINIC, INC
Active
Other names
Katy Trail Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL WALLER (CEO)
(660) 310-0809
Entity
Organization
Contact information
Practice address
305 W MAIN ST, SEDALIA, MO 65301-3821
(660) 310-0909
(888) 979-8868
Mailing address
821 WESTWOOD DR, SEDALIA, MO 65301-2102
(660) 826-4774
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
—
—
3336C0002X
Clinic Pharmacy
Primary
—
—
Other
Enumeration date
09/01/2022
Last updated
02/21/2024
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