Organization
DOUGLAS COUNTY PUBLIC HEALTH SERVICES GROUP, INC.
Active
Other names
MOCH Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD R SIMS (CEO)
(417) 683-4831
Entity
Organization
Contact information
Practice address
504 NW 10TH AVE., AVA, MO 65608
(417) 683-4831
(417) 683-1602
Mailing address
PO BOX 1359, AVA, MO 65608-1359
(417) 683-4831
(417) 683-1602
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
2006024118
MO
Other
Enumeration date
08/30/2006
Last updated
08/22/2020
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