Organization
CITIZENS MEMORIAL HOSPITAL DISTRICT
Active
Other names
Stephens Pharmacy at CMH
Organization subpart
No
Provider details
NPI number
Authorized official
RENEE MARIE MEYER (CFO)
(417) 328-6258
Entity
Organization
Contact information
Practice address
1100 S SPRINGFIELD AVE, BOLIVAR, MO 65613-2512
(417) 326-6003
(417) 777-5806
Mailing address
1100 S SPRINGFIELD AVE, BOLIVAR, MO 65613-2512
(417) 326-6003
(417) 777-5806
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2169973
PK
—
Enumeration date
07/14/2017
Last updated
12/02/2024
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