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Organization

FERGUSON DRUG

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STEVE NORMAN (OWNER PHARMACIST)
(417) 469-3005
Entity
Organization

Contact information

Practice address
101 E MAIN ST, WILLOW SPRINGS, MO 65793-1413
(417) 469-3005
Mailing address
101 E MAIN ST, P.O. BOX 278, WILLOW SPRINGS, MO 65793-1413

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
620128702
MO
Enumeration date
06/07/2007
Last updated
04/29/2009
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