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Organization

MISSOURI DELTA MEDICAL CENTER

Active
Parent organization
MISSOURI DELTA MEDICAL CENTER
Other names
Delta Regional 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
412 W BROADWATER RD, MALDEN, MO 63863-1358
(573) 901-5001
(800) 617-8692
Mailing address
412 W BROADWATER RD, MALDEN, MO 63863-1358
(573) 901-5001
(573) 990-1284

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary

Other

Enumeration date
12/20/2024
Last updated
12/20/2024
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