Organization
CITY PBA PHARMACY
Active
Other names
CITY PBA PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MARKOVICH PD (OWNER PRESSIDENT)
(660) 529-2255
Entity
Organization
Contact information
Practice address
227 MAIN ST, SLATER, MO 65349-1411
(660) 529-2255
(660) 529-2701
Mailing address
227 MAIN ST, SLATER, MO 65349-1411
(660) 529-2255
(660) 529-2701
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
003919
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2048676
PK
—
05
—
600095418
—
MO
Enumeration date
07/14/2006
Last updated
12/18/2016
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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