Organization
FAMILY PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN HOLTMAN (PAARTNER)
(573) 564-2273
Entity
Organization
Contact information
Practice address
806 N STURGEON ST, MONTGOMERY CITY, MO 63361-1426
(573) 564-2231
(573) 564-5249
Mailing address
806 N STURGEON ST, MONTGOMERY CITY, MO 63361-1426
(573) 564-2231
(573) 564-5249
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
10/02/2019
Last updated
10/02/2019
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