Organization
SWEET SPRINGS PHARMACY INC
Active
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
Mailing address
401 S LOCUST ST, SWEET SPRINGS, MO 65351-1308
(660) 335-6300
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
606154102
—
MO
Enumeration date
08/07/2019
Last updated
11/23/2021
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