Organization
PIEDMONT FAMILY PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRUCE EADY (CEO)
(573) 686-5311
Entity
Organization
Contact information
Practice address
#1 HAL'S PLAZA DRIVE, PIEDMONT, MO 63957
(573) 223-4823
Mailing address
#1 HAL'S PLAZA DRIVE, PIEDMONT, MO 63957
(573) 223-4823
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
2004003549
MO
Other
Enumeration date
01/26/2007
Last updated
08/22/2020
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