Organization
INNOVATIVE PHARMACEUTICAL SERVICES INC.
Active
Other names
Sam's Prescription Shop
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES TERRY FINK RPH (PHARMACIST MANAGER)
(816) 356-0300
Entity
Organization
Contact information
Practice address
7506 RAYTOWN RD, RAYTOWN, MO 64138-0598
(816) 356-0300
(816) 356-8926
Mailing address
7506 RAYTOWN RD, RAYTOWN, MO 64138-0598
(816) 356-0300
(816) 356-8926
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
5070
MO
3336C0003X
Community/Retail Pharmacy
Primary
5070
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
600586937
—
MO
Enumeration date
07/19/2006
Last updated
10/31/2012
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