Organization
CAMDENTON MEDICAL CENTER PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD GENE HOLMAN RPH (PHARMACIST IN CHARGE)
(573) 346-2300
Entity
Organization
Contact information
Practice address
1930 NORTH STATE HWY 5, UNIT 1C, CAMDENTON, MO 65020-1930
(573) 346-2300
(573) 346-8409
Mailing address
1930 NORTH STATE HWY 5, UNIT 1C, CAMDENTON, MO 65020-1930
(573) 346-2300
(573) 346-8409
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
028456
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2629422
NABP
MO
01
—
29193
BNDD
MO
Enumeration date
03/09/2007
Last updated
03/07/2023
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