Organization
MISSOURI DELTA MEDICAL CENTER
Active
Parent organization
MISSOURI DELTA MEDICAL CENTER
Other names
Missouri Delta Benton Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
MISSOURI DELTA MEDICAL CENTER
Authorized official
SANDA ZUCK (CREDENTIALING CONTACT)
(573) 472-7423
Entity
Organization
Contact information
Practice address
6468 STATE HIGHWAY 77, BENTON, MO 63736-8237
(573) 545-5155
(573) 545-5156
Mailing address
1008 N MAIN ST, SIKESTON, MO 63801-5044
(573) 472-7423
(573) 472-7475
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
08/25/2023
Last updated
08/25/2023
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