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Organization

STONES CORNER PHARMACY, INC.

Active
Other names
Stones Corner Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
WILLIAM EARL OSBORN (VP)
(918) 542-4444
Entity
Organization

Contact information

Practice address
3201 MCCLELLAND BLVD, JOPLIN, MO 64804-3524
(417) 347-6337
(417) 347-6336
Mailing address
3201 MCCLELLAND BLVD, JOPLIN, MO 64804-3524
(417) 347-6337
(417) 347-6336

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
333600000X
Pharmacy
2016003016
MO
3336C0003X
Community/Retail Pharmacy
Primary
3336L0003X
Long Term Care Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2016003016
PHARMACY LICENSE
MO
01
2157895
PK
05
606278703
MO
Enumeration date
02/15/2016
Last updated
02/11/2025
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