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Organization

GUARDIAN PHARMACY OF MISSOURI LLC

Active
Other names
Guardian Pharmacy of Missouri
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL COUNTS (PRESIDENT)
(417) 864-5873
Entity
Organization

Contact information

Practice address
2107 E ROCKHURST ST STE C, SPRINGFIELD, MO 65802-6502
(417) 864-5873
(417) 864-5874
Mailing address
2107 E ROCKHURST ST STE C, SPRINGFIELD, MO 65802-6502
(404) 810-0094
(404) 810-0089

Taxonomy

Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
2016023396
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1326490376
MO
01
2166287
PK
Enumeration date
07/01/2016
Last updated
10/30/2018
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