Organization
CLEVER PHARMACY INC
Active
Other names
Clever Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
RHONDA MILLER-MORRISON (SEC/TREAS)
(417) 678-2260
Entity
Organization
Contact information
Practice address
7450D STATE HIGHWAY 14 W, BILLINGS, MO 65610-9094
(417) 743-5200
(417) 743-5202
Mailing address
212 S ELLIOTT AVE, AURORA, MO 65605-1631
(417) 678-2260
(417) 678-2270
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
2010036608
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2639358
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
09/17/2010
Last updated
10/27/2010
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