Organization
JOHN S RX LLLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MCMULLIN (PARTNER)
(573) 334-1300
Entity
Organization
Contact information
Practice address
2003 INDEPENDENCE ST, CAPE GIRARDEAU, MO 63703-5805
(573) 651-4004
(573) 651-6074
Mailing address
2003 INDEPENDENCE ST, CAPE GIRARDEAU, MO 63703-5805
(573) 651-4004
(573) 651-6074
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
2015041871
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2155816
PK
—
05
—
606225704
—
MO
Enumeration date
05/10/2006
Last updated
03/27/2017
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