Organization
COMMUNITY CARE PHARMACY, LLC
Active
Other names
Phoenix Home Care Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KELLIE THOMPSON RPH (PRESIDENT)
(833) 321-4479
Entity
Organization
Contact information
Practice address
617 N COWLING ST STE H, DESLOGE, MO 63601-3176
(833) 321-4479
(573) 436-0630
Mailing address
617 N COWLING ST STE H, DESLOGE, MO 63601-3176
(833) 321-4479
(573) 436-0630
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
10/27/2017
Last updated
01/14/2024
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