Organization
COLE CAMP PHARMACY INC
Active
Other names
COLE CAMP PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL SNELL (OWNER)
(660) 668-4646
Entity
Organization
Contact information
Practice address
106 S MAPLE ST, COLE CAMP, MO 65325-1120
(660) 668-4646
(660) 668-4633
Mailing address
PO BOX 100, COLE CAMP, MO 65325-0100
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
006476
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2632075
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
603807603
—
MO
Enumeration date
07/30/2006
Last updated
03/19/2012
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