Organization
CITIZENS MEMORIAL HOSPITAL DISTRICT
Active
Other names
CMH Buffalo Community Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
RENEE MARIE MEYER (CFO)
(417) 328-6258
Entity
Organization
Contact information
Practice address
315 S ASH ST, BUFFALO, MO 65622-8705
(417) 345-2321
(417) 345-8837
Mailing address
1500 N OAKLAND AVE, BOLIVAR, MO 65613-3011
(417) 328-6258
(417) 328-6242
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2141673
PK
—
05
—
600008780
—
MO
Enumeration date
08/06/2013
Last updated
01/31/2025
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