Organization
ST. JOHN'S REGIONAL HEALTH CENTER
Active
Other names
St. John's Pharmacy-Fremont
Organization subpart
No
Provider details
NPI number
Authorized official
ROB SHOCKLEY (RETAIL PHARMACY COORDINATOR)
(417) 820-6624
Entity
Organization
Contact information
Practice address
1965 S FREMONT AVE, SPRINGFIELD, MO 65804-2201
(417) 820-3577
(417) 820-3578
Mailing address
1965 S FREMONT AVE, SPRINGFIELD, MO 65804-2201
(417) 820-3577
(417) 820-3578
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
006618
MO
Other
Enumeration date
08/27/2007
Last updated
08/27/2007
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