Organization
CITIZENS MEMORIAL HOSPITAL DISTRICT
Active
Organization
CITIZENS MEMORIAL HOSPITAL DISTRICT
Active
Other names
CMH Senior Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
RENEE MARIE MEYER (CFO)
(417) 328-6258
Entity
Organization
Contact information
Practice address
1100 S SPRINGFIELD AVE STE A, BOLIVAR, MO 65613
(417) 328-4700
(855) 662-4032
Mailing address
1100 S SPRINGFIELD AVE STE A, BOLIVAR, MO 65613-2512
(417) 328-4700
(855) 662-4032
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
2017018431
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2169941
PK
—
Enumeration date
07/07/2017
Last updated
12/02/2024
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