Organization
B Y ENTERPRISES INC
Active
Other names
Sterling Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ROSS MERIDETH PHARM D (PHARMACIST IN CHARGE)
(573) 472-0608
Entity
Organization
Contact information
Practice address
808 HUNTER AVE STE 1A, SIKESTON, MO 63801-2253
(573) 475-1900
(573) 472-1814
Mailing address
PO BOX 886, SIKESTON, MO 63801-0886
(573) 475-1900
(573) 472-1814
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2010034498
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2127022
PK
—
05
—
606493005
—
MO
Enumeration date
10/18/2010
Last updated
06/17/2016
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