Organization
AVA RX LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATIE LUCKFIELD PHARM D (PIC)
(417) 813-5077
Entity
Organization
Contact information
Practice address
916 SPRINGFIELD RD STE F, AVA, MO 65608-5477
(417) 683-9550
(417) 250-8002
Mailing address
PO BOX 1809, AVA, MO 65608-1809
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Enumeration date
12/29/2021
Last updated
02/10/2022
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