Organization
LAWRENCE DRUG INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH LAWRENCE RPH (OWNER)
(417) 886-6880
Entity
Organization
Contact information
Practice address
1454 E REPUBLIC RD, SPRINGFIELD, MO 65804-6507
(417) 886-6880
(417) 886-0042
Mailing address
1454 E REPUBLIC RD, SPRINGFIELD, MO 65804-6507
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
005236
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2627050
OTHER ID NUMBER
—
Enumeration date
11/01/2005
Last updated
02/04/2008
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