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Organization

WESTERN MISSOURI MEDICAL CENTER OUTPATIENT PHARMACY

Active
Parent organization
WESTERN MISSOURI MEDICAL CENTER
Organization subpart
Yes

Provider details

NPI number
Legal business name
WESTERN MISSOURI MEDICAL CENTER
Authorized official
MICHAEL DEAN OHMART (VP/CHIEF FINANCIAL OFFICER)
(660) 262-7307
Entity
Organization

Contact information

Practice address
403 BURKARTH RD, WARRENSBURG, MO 64093
(660) 747-2500
(660) 429-2300
Mailing address
403 BURKARTH RD, WARRENSBURG, MO 64093-3101
(660) 747-2500
(660) 429-2300

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
2006035150
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12543918
STATE TAX ID
MO
01
2003015598
STATE LICENSE #
MO
05
606090009
MO
Enumeration date
05/21/2007
Last updated
01/05/2026
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