Organization
JMC PHARMACIES, LLC.
Active
Other names
UVANTA Pharmacy- Southern Missouri
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL COUNTS (MANAGER)
(417) 894-8144
Entity
Organization
Contact information
Practice address
2103 E ROCKHURST ST STE 108, SPRINGFIELD, MO 65802-6501
(417) 864-5873
(417) 864-5874
Mailing address
2103 E ROCKHURST ST, STE 108, SPRINGFIELD, MO 65802-6522
(417) 864-5873
(417) 864-5874
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
2009000059
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2118445
PK
—
Enumeration date
01/05/2009
Last updated
06/16/2016
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