Organization
CAPE PHARMACY LLC
Active
Other names
MediCenter Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN SOMMER (MEMBER/VP-FINANCE & ADMIN)
(314) 965-4700
Entity
Organization
Contact information
Practice address
465 S MOUNT AUBURN RD STE 101, CAPE GIRARDEAU, MO 63703-4931
(573) 651-5250
(573) 651-5230
Mailing address
465 S MOUNT AUBURN RD, SUITE 101, CAPE GIRARDEAU, MO 63703-4926
(573) 651-5250
(573) 651-5230
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
2012041949
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2138274
PK
—
05
—
600002981
—
MO
Enumeration date
11/01/2012
Last updated
10/21/2014
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