Gant Pharmacy Services INC

NPI #1063927010 in West Plains, Missouri

Provider Information

NPI Number
1063927010
Entity Type
Organization
Organization Name
Gant Pharmacy Services INC
Subpart
Yes (part of a larger organization)
Parent Organization
GANT PHARMACY SERVICES INC
Primary Specialty
Pharmacy - Long Term Care Pharmacy
Enumeration Date
Dec 12, 2017
Last Updated
Dec 12, 2017

Practice Location

Address
805 N KENTUCKY AVE STE 2
ZIP Code
65775-2045
Phone
(417) 256-2274

Authorized Official

Name
RUSSELL GANT
Title
OWNER/PIC
Phone
(417) 256-2274

Specialties & Taxonomy Codes

Specialty
Pharmacy - Long Term Care PharmacyLong Term Care Pharmacy

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