Organization
OZARKS MEDICAL CENTER
Active
Other names
Ozarks Healthcare Pharmacy Thayer, Cooper Drug Store
Organization subpart
No
Provider details
NPI number
Authorized official
TERENCE F FARRELL (PRESIDENT/CEO)
(417) 256-9111
Entity
Organization
Contact information
Practice address
1375 NETTLETON AVE, THAYER, MO 65791-8740
(417) 264-7115
(417) 264-9115
Mailing address
1375 NETTLETON AVE, THAYER, MO 65791-8740
(417) 264-7115
(417) 264-9115
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
278611407
—
AR
05
—
600061527
—
MO
Enumeration date
03/08/2007
Last updated
11/14/2025
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