Organization
KPBN APOTHECARY LLC
Active
Other names
Lawrence Drug
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATHANIEL PAUL ALDRICH PHARMD (PHARMACIST IN CHARGE)
(417) 485-8555
Entity
Organization
Contact information
Practice address
5540 N FARMER BRANCH RD, OZARK, MO 65721-5315
(417) 485-8555
(417) 485-8559
Mailing address
5540 N FARMER BRANCH RD, OZARK, MO 65721-5315
(417) 485-8555
(417) 485-8559
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
2014004590
MO
3336C0003X
Community/Retail Pharmacy
Primary
2014004590
MO
3336C0004X
Compounding Pharmacy
2014004590
MO
Other
Enumeration date
03/03/2014
Last updated
05/23/2014
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