Organization
ST JOHN'S REGIONAL HEALTH CENTER
Active
Other names
St John's Pharmacy-Nixa
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAY GUFFEY (COO)
(417) 820-2520
Entity
Organization
Contact information
Practice address
940 W MOUNT VERNON ST, SUITE 130, NIXA, MO 65714-9609
(417) 724-5350
(417) 724-5354
Mailing address
940 W MOUNT VERNON ST, SUITE 130, NIXA, MO 65714-9609
(417) 724-5350
(417) 724-5354
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2005012026
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
626198402
—
MO
Enumeration date
08/27/2007
Last updated
11/15/2011
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