Organization
OLD TOWN PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KELLY M HALL RPH (VICE PRESIDENT OF OPERATIONS)
(417) 635-1100
Entity
Organization
Contact information
Practice address
100 CHAPEL DR STE A, MONETT, MO 65708-9378
(417) 635-1100
Mailing address
100 CHAPEL DR STE A, MONETT, MO 65708-9378
(417) 635-1100
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
01/21/2020
Last updated
01/22/2020
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