Organization
ELSTEN ENTERPRISES INC
Active
Other names
PRONTO PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
GERALD CARPENTER (OWNER)
(417) 781-8383
Entity
Organization
Contact information
Practice address
2602 MCCLELLAND BLVD, JOPLIN, MO 64804-1621
(417) 781-8383
(417) 781-8375
Mailing address
2602 MCCLELLAND BLVD, JOPLIN, MO 64804-1621
(417) 781-8383
(417) 781-8375
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
004206
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2620727
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
601438708
—
MO
Enumeration date
10/12/2006
Last updated
12/07/2009
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