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Organization

JOE'S PHARMACY INC

Active
Other names
Joe's Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
SUSAN ELIZABETH HILL RPH (PIC)
(417) 532-7128
Entity
Organization

Contact information

Practice address
489 S JEFFERSON AVE, LEBANON, MO 65536-3261
(417) 532-7128
(417) 532-9610
Mailing address
489 S JEFFERSON AVE, LEBANON, MO 65536-3261
(417) 532-7128
(417) 532-9610

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
00268
MO
3336L0003X
Long Term Care Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
600585509
MO
Enumeration date
10/03/2006
Last updated
10/14/2020
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