Organization
SULLIVAN COUNTY MEMORIAL HOSPITAL
Active
Parent organization
SULLIVAN COUNTY MEMORIAL HOSPITAL
Other names
Sullivan County Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
SULLIVAN COUNTY MEMORIAL HOSPITAL
Authorized official
AMY MICHAEL (COO)
(660) 265-4212
Entity
Organization
Contact information
Practice address
511 W 3RD ST, MILAN, MO 63556
(660) 265-1611
Mailing address
630 W 3RD ST, MILAN, MO 63556-1076
(660) 265-4212
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
10/28/2024
Last updated
10/28/2024
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