Organization
COUNTRY MART PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIKA HAHN PHARMD (PIC)
(573) 358-0099
Entity
Organization
Contact information
Practice address
235 GERARD ST, STE GENEVIEVE, MO 63670-1713
(312) 547-9845
Mailing address
235 GERARD ST, STE GENEVIEVE, MO 63670-1713
(312) 547-9845
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2011030562
MO
Other
Enumeration date
04/29/2015
Last updated
04/29/2015
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