St. John's Regional Health Center

NPI #1164616678 in Lebanon, Missouri

Provider Information

NPI Number: 1164616678
Entity Type: Organization
Organization Name: St. John's Regional Health Center
Primary Specialty: Pharmacist
Enumeration Date: Aug 29, 2007
Last Updated: Aug 29, 2007

Practice Location

Address: 200 HOSPITAL DR
City: Lebanon
State: Missouri
ZIP Code: 65536-9215
Phone: (417) 533-6770

Authorized Official

Name: ROB SHOCKLEY
Title: REATIL COORDINATOR
Phone: (417) 820-6624

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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