Organization
SCOTLAND COUNTY COMMUNITY HEALTH DEVELOPMENT SERVICES, INC.
Active
Other names
Memphis Community Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL BRANDON (TREASURER)
(660) 465-8513
Entity
Organization
Contact information
Practice address
450 E SIGLER AVE, SUITE A-2, MEMPHIS, MO 63555-1726
(512) 596-2930
(760) 859-3614
Mailing address
450 E SIGLER AVE STE A-2, MEMPHIS, MO 63555-1726
(660) 465-8513
(660) 465-8569
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2017007473
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2168202
PK
—
Enumeration date
01/24/2017
Last updated
02/17/2020
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