Organization
OSAGE PHARMACY LLC
Active
Other names
MEDICAL CENTER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK KLEINBECK (PRESIDENT)
(573) 686-6211
Entity
Organization
Contact information
Practice address
513B N GRAND AVE, DONIPHAN, MO 63935-1405
(573) 996-3784
(573) 996-5275
Mailing address
2029 MEADOWS RD, POPLAR BLUFF, MO 63901-2723
(573) 686-6211
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
08/01/2006
Last updated
08/12/2009
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