Organization
CARROLL CNTY MEM HOSP PHARMACY INC
Active
Other names
CARROLL COUNTY MEM HOSP PHCY
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY DOVER (CEO)
(660) 542-1695
Entity
Organization
Contact information
Practice address
1502 N JEFFERSON ST, CARROLLTON, MO 64633-1948
(660) 542-1695
(660) 542-0363
Mailing address
1502 N JEFFERSON ST, CARROLLTON, MO 64633-1948
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
21044
MO
3336I0012X
Institutional Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0909150
—
MO
01
—
2623266
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
08/22/2006
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us