Organization
MEDICAL ARTS PHARMACY
Active
Other names
MEDICAL ARTS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH GOERS RPH (OWNER)
(636) 239-4368
Entity
Organization
Contact information
Practice address
1935 PRAIRIE DELL RD, SUITE 200, UNION, MO 63084-4328
(636) 583-3117
(636) 583-3666
Mailing address
1823 WISHWOOD DR, WASHINGTON, MO 63090-3415
(636) 239-4368
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
004795
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2050960
PK
—
05
—
600801120
—
MO
Enumeration date
08/10/2006
Last updated
10/26/2013
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