Organization
STEVEN L HORST
Active
Other names
HORST PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN HORST (OWNER)
(573) 243-8173
Entity
Organization
Contact information
Practice address
2705 E JACKSON BLVD, JACKSON, MO 63755-2918
(573) 243-8173
(573) 243-8174
Mailing address
2705 E JACKSON BLVD, JACKSON, MO 63755-2918
(573) 243-8173
(573) 243-8174
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2011034982
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2050225
PK
—
05
—
601582901
—
MO
Enumeration date
09/14/2006
Last updated
08/05/2015
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