Organization
OZARK LTC RX
Active
Organization
OZARK LTC RX
Active
Other names
Ozark LTC RX
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT R MILLER (PHARMACIST)
(803) 319-1450
Entity
Organization
Contact information
Practice address
9 BONNEVILLE PLZ, BONNE TERRE, MO 63628-1307
(573) 755-0800
(888) 305-1276
Mailing address
9 BONNEVILLE PLZ, BONNE TERRE, MO 63628-1307
(573) 755-0800
(888) 305-1276
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
2014015500
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2145749
PK
—
Enumeration date
05/28/2014
Last updated
05/09/2023
Update your record
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