Organization
POPLAR BLUFF PHARMACY LLC
Active
Other names
John's Pharmacy Poplar Bluff
Organization subpart
No
Provider details
NPI number
Authorized official
ABRAHAM FUNK (OWNER)
(573) 785-0984
Entity
Organization
Contact information
Practice address
909 W PINE ST, POPLAR BLUFF, MO 63901-4958
(573) 785-0984
(573) 785-2257
Mailing address
2007 INDEPENDENCE ST, CAPE GIRARDEAU, MO 63703-5805
(573) 785-0984
(573) 785-2257
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2016042382
MO
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2166615
PK
—
05
—
600059703
—
MO
Enumeration date
10/18/2016
Last updated
09/19/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up