Organization
LIN-KRIS PHARMACY INC
Active
Other names
CEDAR HILL DRUG
Organization subpart
No
Provider details
NPI number
Authorized official
ROY EBERHART RPH (PRESIDENT)
(636) 274-3111
Entity
Organization
Contact information
Practice address
7032 STATE ROUTE BB, CEDAR HILL, MO 63016
(636) 274-3111
(636) 274-7083
Mailing address
PO BOX 34, CEDAR HILL, MO 63016-0034
(636) 274-3111
(636) 274-7083
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2002005824
MO
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2048788
PK
—
05
—
600248009
—
MO
Enumeration date
07/17/2006
Last updated
10/28/2015
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