Organization
SSM REGIONAL HEALTH SERVICES
Active
Parent organization
SSM HEALTH CARE CORPORATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
SSM HEALTH CARE CORPORATION
Authorized official
LIANNE TWYMAN (PHARMACIST IN CHARGE)
(660) 433-5404
Entity
Organization
Contact information
Practice address
875 HWY 5 SOUTH, TIPTON, MO 65081-8253
(660) 433-5404
(660) 433-5407
Mailing address
PO BOX 40, TIPTON, MO 65801
(660) 433-5404
(660) 433-5407
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2000146380
MO
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2047333
PK
—
05
—
600305403
—
MO
Enumeration date
07/30/2006
Last updated
04/03/2018
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