Organization
CITY OF STEELE GREENE PHARMACY, INC
Active
Other names
Greene Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID LEE GREENE RPH (PRESIDENT)
(573) 695-4533
Entity
Organization
Contact information
Practice address
128 W MAIN ST, STEELE, MO 63877-1434
(573) 695-4533
(573) 695-3327
Mailing address
128 W MAIN ST, STEELE, MO 63877-1434
(573) 695-4533
(573) 695-3327
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
003850
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26-18063
NABP/NCPDP PROVIDER ID #
MO
05
—
601294408
—
MO
Enumeration date
09/23/2006
Last updated
08/22/2020
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