Organization
QUEEN CITY PHARMACIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIC J SCHREIBER (MANAGER/MEMBER)
(612) 965-5506
Entity
Organization
Contact information
Practice address
811 E. DIVISION STREET, SPRINGFIELD, MO 65803-3114
(417) 866-3054
(417) 866-1250
Mailing address
811 E. DIVISION STREET, SPRINGFIELD, MO 65803-3114
(417) 866-3054
(417) 866-1250
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
MO
333600000X
Pharmacy
005536
MO
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
201703117D
MO
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2628494
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
601741507
—
MO
Enumeration date
11/15/2006
Last updated
03/07/2023
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