Organization
MISSOURI VALLEY RESPIRATORY PHARMACY LLC
Active
Other names
Missouri Valley Respiratory Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
BILL CAVINESS (RPH)
(660) 595-2142
Entity
Organization
Contact information
Practice address
107 E ANN ST, MALTA BEND, MO 65339-1016
(660) 595-2142
Mailing address
107 E ANN ST, MALTA BEND, MO 65339-1016
(660) 595-2142
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
2015018905
MO
3336M0002X
Mail Order Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2152955
PK
—
Enumeration date
07/07/2015
Last updated
07/07/2015
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