Organization
PERRYVILLE HEALTH CARE CORPORATION
Active
Other names
Prescriptions Plus Longterm Care Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH LAYTON (BUSINESS MANAGER)
(573) 768-3362
Entity
Organization
Contact information
Practice address
212 HOSPITAL LN STE 103, PERRYVILLE, MO 63775-4204
(573) 768-3393
(573) 768-3394
Mailing address
212 HOSPITAL LN STE 103, PERRYVILLE, MO 63775-4204
(573) 768-3393
(573) 768-3394
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
2009018009
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1720218639
—
MO
01
—
2121127
PK
—
Enumeration date
07/27/2009
Last updated
03/06/2017
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