Organization
CENTRAL PHARMACY
Active
Organization
CENTRAL PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN ROBINSON (PHARMACIST IN CHARGE)
(573) 785-7708
Entity
Organization
Contact information
Practice address
1611 LURLYN DR, POPLAR BLUFF, MO 63901-2763
(573) 785-7708
(573) 785-7700
Mailing address
1611 LURLYN DR, POPLAR BLUFF, MO 63901-2763
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
6274
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
608722906
—
MO
Enumeration date
02/16/2007
Last updated
06/12/2008
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