Organization
CH ALLIED SERVIES INC
Active
Other names
BOONE PLAZA PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
BARRY CHAMBERS (CFO)
(573) 815-3072
Entity
Organization
Contact information
Practice address
1600 E BROADWAY, COLUMBIA, MO 65201-5844
(573) 815-6255
(573) 815-8419
Mailing address
1600 E BROADWAY, COLUMBIA, MO 65201-5844
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
005802
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2047200
PK
—
05
—
607935608
—
MO
Enumeration date
08/23/2006
Last updated
03/15/2021
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