Organization
HEALTH CARE PHARMACY OF PERRYVILLE, LLC
Active
Other names
HEALTHCARE HEALTHWISE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
SAVANNA GROGG (MANAGER)
(573) 535-4911
Entity
Organization
Contact information
Practice address
628 N OLD ST MARYS RD, PERRYVILLE, MO 63775
(573) 547-2517
Mailing address
628 N OLD ST MARYS RD, PERRYVILLE, MO 63775
(573) 547-2517
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
600123608
—
MO
Enumeration date
05/06/2019
Last updated
12/03/2021
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