Organization
ST FRANCIS MEDICAL CENTER
Active
Other names
Saint Francis Pharmacy Poplar Bluff, KNEIBERT CLINIC PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
TIM ODOM (PHARMACY MANAGER)
(573) 778-7774
Entity
Organization
Contact information
Practice address
225 PHYSICIANS PARK STE 100, POPLAR BLUFF, MO 63901-3918
(573) 778-7774
(573) 778-7230
Mailing address
225 PHYSICIANS PARK STE 100, POPLAR BLUFF, MO 63901-3918
(573) 778-7774
(573) 778-7230
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2157579
PK
—
05
—
600295406
—
MO
Enumeration date
01/04/2006
Last updated
08/05/2021
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