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Organization

STEVEN L HORST

Active
Parent organization
STEVEN L HORST
Other names
HORST PHARMACY
Organization subpart
Yes

Provider details

NPI number
Legal business name
STEVEN L HORST
Authorized official
STEVEN L HORST (OWNER)
(573) 243-8173
Entity
Organization

Contact information

Practice address
2705 E JACKSON BLVD, JACKSON, MO 63755-2918
(573) 243-8173
(573) 243-8174
Mailing address
2705 E JACKSON BLVD, JACKSON, MO 63755-2918
(573) 243-8173
(573) 243-8174

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
621582907
MO
Enumeration date
11/02/2007
Last updated
11/02/2007
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