Old Town Pharmacy LLC

NPI #1437789237 in Monett, Missouri

Provider Information

NPI Number
1437789237
Entity Type
Organization
Organization Name
Old Town Pharmacy LLC
Primary Specialty
Pharmacy - Long Term Care Pharmacy
Enumeration Date
Jan 21, 2020
Last Updated
Jan 22, 2020

Practice Location

Address
100 CHAPEL DR STE A
City
Monett
ZIP Code
65708-9378
Phone
(417) 635-1100

Authorized Official

Name
MR. KELLY M HALL, RPH
Title
VICE PRESIDENT OF OPERATIONS
Phone
(417) 635-1100

Specialties & Taxonomy Codes

Specialty
Pharmacy - Long Term Care PharmacyLong Term Care Pharmacy

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