Organization
COMMUNITY PHARMACY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORI MARIE BARTLETT R.PH (PHARMACIST IN CHARGE/MANAGER)
(417) 667-6044
Entity
Organization
Contact information
Practice address
900 S ADAMS ST, NEVADA, MO 64772-3210
(417) 667-6044
(417) 667-0544
Mailing address
900 S ADAMS ST, NEVADA, MO 64772-3210
(417) 667-6044
(417) 667-0544
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
044158
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100430670B
—
KS
05
—
600447304
—
MO
Enumeration date
11/09/2005
Last updated
02/13/2012
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