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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