Organization
RKJ RX INC
Active
Other names
West Plains Health Mart Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD JENSEN RPH (OWNER, PRESIDENT, PIC)
(417) 256-7706
Entity
Organization
Contact information
Practice address
1453 GIBSON ST, WEST PLAINS, MO 65775-1870
(417) 256-7706
(417) 257-2512
Mailing address
1453 GIBSON ST, WEST PLAINS, MO 65775-1870
(417) 256-7706
(417) 257-2512
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
2009018216
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2619370
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
601716103
—
MO
Enumeration date
08/18/2006
Last updated
04/26/2012
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