Organization
GARDNER PHARMACY SERVICES INC
Active
Other names
GREEN HILLS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID GARDNER (OWNER / PRESIDENT)
(660) 258-2122
Entity
Organization
Contact information
Practice address
712 S MAIN ST, BROOKFIELD, MO 64628-2307
(660) 258-2122
(660) 258-7338
Mailing address
712 S MAIN ST, BROOKFIELD, MO 64628-2307
(660) 258-2122
(660) 258-7338
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2001021786
MO
3336L0003X
Long Term Care Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2048722
PK
—
05
—
605350602
—
MO
Enumeration date
05/28/2006
Last updated
09/19/2025
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