Organization
PUTNAM COUNTY MEMORIAL HOSPITAL
Active
Other names
Putnam County Memorial Hospital Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MARIAH HOLLABAUGH (DIRECTOR OF PHARMACY)
(660) 947-3673
Entity
Organization
Contact information
Practice address
1926 OAK ST, UNIONVILLE, MO 63565-1180
(660) 947-2574
(660) 947-2576
Mailing address
1926 OAK ST, UNIONVILLE, MO 63565-1180
(660) 947-2574
(660) 947-2576
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
2015019365
MO
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2152660
PK
—
Enumeration date
06/19/2015
Last updated
11/18/2019
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