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Organization

PHELPS COUNTY REGIONAL MEDICAL CENTER

Active
Other names
Phelps Health Employee Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JASON C MEDOWS PHARM D (PHARMACIST IN CHARGE)
(573) 458-3010
Entity
Organization

Contact information

Practice address
1000 W 10TH ST, ROLLA, MO 65401-2905
(573) 458-7895
Mailing address
1000 W 10TH ST, ROLLA, MO 65401-2905

Taxonomy

Speciality
Code
Description
License number
State
282NR1301X
Rural Acute Care Hospital
005887
MO
333600000X
Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2630300
NABP NUMBER
MO
05
600419105
MO
Enumeration date
09/12/2006
Last updated
03/30/2022
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