Organization
SWEET SPRINGS PHARMACY INC
Active
Other names
SWEET SPRINGS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY EUGENE CLARK (DIRECTOR OF OPERATIONS)
(660) 247-1580
Entity
Organization
Contact information
Practice address
401 S LOCUST ST, SWEET SPRINGS, MO 65351-1308
(660) 335-6300
(660) 335-6822
Mailing address
401 S LOCUST ST, SWEET SPRINGS, MO 65351-1308
(660) 335-6300
(660) 335-6822
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2004028026
MO
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2049046
PK
—
05
—
606154102
—
MO
Enumeration date
10/26/2006
Last updated
11/23/2021
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