St. John's Physician & Clinic
NPI #1790978765 in Licking, Missouri
Provider Information
- NPI Number
- 1790978765
- Entity Type
- Organization
- Organization Name
- St. John's Physician & Clinic
- Primary Specialty
- Pharmacist
- Enumeration Date
- Aug 23, 2007
- Last Updated
- Aug 23, 2007
Practice Location
Authorized Official
- Name
- MR. ROB SHOCKLEY
- Title
- RETAIL COORDINATOR
- Phone
- (417) 820-6624
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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