Organization
JOHNS PHARMACY LLLP
Active
Other names
John's Pharmacy, John's Pharmacy, LLLP
Organization subpart
No
Provider details
NPI number
Authorized official
ABRAHAM T FUNK (OWNER)
(573) 334-1300
Entity
Organization
Contact information
Practice address
2001 INDEPENDENCE ST, CAPE GIRARDEAU, MO 63703-5805
(573) 334-1300
(573) 334-0493
Mailing address
2001 INDEPENDENCE ST, CAPE GIRARDEAU, MO 63703-5805
(573) 334-1300
(573) 334-0493
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2015041869
MO
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2157847
PK
—
05
—
602852105
—
MO
Enumeration date
05/10/2006
Last updated
10/23/2025
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