Organization
COX WALNUT LAWN PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BOB BEZANSON (PRESIDENT & CEO)
(417) 269-6107
Entity
Organization
Contact information
Practice address
1000 E WALNUT LAWN ST, SPRINGFIELD, MO 65807-7313
(417) 269-9892
Mailing address
1423 N JEFFERSON AVE, SPRINGFIELD, MO 65802-1917
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
500-0
MO
Other
Enumeration date
05/16/2007
Last updated
08/22/2020
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