Organization
ROZIERS COUNTRY MART
Active
Other names
Country Mart
Organization subpart
No
Provider details
NPI number
Authorized official
ERIKA T HAHN PHARMD (PHARMACIST IN CHARGE)
(573) 883-3524
Entity
Organization
Contact information
Practice address
190 PLAZA DR, STE GENEVIEVE, MO 63670-1828
(573) 883-3524
(573) 883-7991
Mailing address
190 PLAZA DR, STE GENEVIEVE, MO 63670-1828
(573) 883-3524
(573) 883-7991
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2009007771
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2120051
PK
—
05
—
601586605
—
MO
Enumeration date
04/29/2009
Last updated
08/13/2024
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