Organization
ORCHARD HILLS PHARMACY INC
Active
Other names
ORCHARD HILLS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY GOETZINGER RPH (OWNER AND PHARMACIST)
(417) 868-8288
Entity
Organization
Contact information
Practice address
3816A W CHESTNUT EXPY, SPRINGFIELD, MO 65802-5500
(417) 868-8288
(417) 868-8248
Mailing address
3816A W CHESTNUT EXPRESSWAY, SPRINGFIELD, MO 65802
(417) 868-8288
(417) 868-8248
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
006448
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2048037
PK
—
05
—
603826900
—
MO
Enumeration date
07/19/2006
Last updated
07/19/2018
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