Organization
MEDICAL DEVELOPMENTS INC
Active
Other names
CoxHealth Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF HAWKINS (PRESIDENT)
(417) 269-6263
Entity
Organization
Contact information
Practice address
1423 N JEFFERSON AVE, SPRINGFIELD, MO 65802-1917
(417) 269-8880
(417) 269-8888
Mailing address
1423 N JEFFERSON AVE # C-100, SPRINGFIELD, MO 65802-1917
(417) 269-8880
(417) 269-8888
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
004669
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2050880
PK
—
05
—
602329302
—
MO
Enumeration date
12/11/2006
Last updated
04/24/2019
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