St. John's Clinic INC

NPI #1043308497 in Rolla, Missouri

Provider Information

NPI Number: 1043308497
Entity Type: Organization
Organization Name: St. John's Clinic INC
Primary Specialty: Pharmacist
Enumeration Date: Oct 11, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 1100 WEST 10TH STREET
Address 2: SUITE 150
City: Rolla
State: Missouri
ZIP Code: 65401
Phone: (573) 426-4931

Authorized Official

Name: MR. ROB D SHOCKLEY, RPH
Title: RETAIL PHARMACY COORDINATOR
Phone: (417) 820-6624

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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