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Organization

PHELPS COUNTY REGIONAL MEDICAL CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KREIG L MOORE R.PH., 340ACE (EXEC DIR 340B & PHARM BUSS STRATEGY)
(573) 458-7892
Entity
Organization

Contact information

Practice address
1050 W 10TH ST, SUITE 100, ROLLA, MO 65401-2905
(573) 458-3360
(573) 458-3362
Mailing address
1000 W 10TH ST, ROLLA, MO 65401-2905
(573) 458-7892

Taxonomy

Speciality
Code
Description
License number
State
3336S0011X
Specialty Pharmacy
Primary

Other

Enumeration date
06/12/2026
Last updated
06/12/2026
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