St. John's Regional Health Center

NPI #1811180466 in Springfield, Missouri

Provider Information

NPI Number: 1811180466
Entity Type: Organization
Organization Name: St. John's Regional Health Center
Primary Specialty: Pharmacist
Enumeration Date: Aug 27, 2007
Last Updated: Aug 27, 2007

Practice Location

Address: 1965 S FREMONT AVE
City: Springfield
State: Missouri
ZIP Code: 65804-2201
Phone: (417) 820-3577

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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