Mountain Grove Pharmacy INC
NPI #1285645820 in Mountain Grove, Missouri
Provider Information
- NPI Number
- 1285645820
- Entity Type
- Organization
- Organization Name
- Mountain Grove Pharmacy INC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Aug 10, 2006
- Last Updated
- Nov 26, 2024
Practice Location
- Address
- 106 N UNION ST
- City
- Mountain Grove
- State
- Missouri
- ZIP Code
- 65711-1724
- Phone
- (417) 926-4156
Authorized Official
- Name
- CHRISTINE COFFMAN
- Title
- PIC
- Phone
- (417) 926-9655
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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