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Organization

STOCKSTILLS PHARMACY INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DENNIS STOCKSTILL RPH (PRESIDENT)
(573) 765-3321
Entity
Organization

Contact information

Practice address
104 W MCCLURG AVE, RICHLAND, MO 65556
(573) 765-3321
(573) 765-5200
Mailing address
PO BOX 310, RICHLAND, MO 65556-0310
(573) 765-3321
(573) 765-5200

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
2004006519
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
600284509
MO
Enumeration date
09/24/2007
Last updated
12/07/2010
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