Northwest Pharmacy INC
NPI #1902974140 in Poplar Bluff, Missouri
Provider Information
- NPI Number
- 1902974140
- Entity Type
- Organization
- Organization Name
- Northwest Pharmacy INC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Dec 4, 2006
- Last Updated
- Nov 16, 2011
Practice Location
- Address
- 2210 BARRON RD
- City
- Poplar Bluff
- State
- Missouri
- ZIP Code
- 63901-1908
- Phone
- (573) 686-6211
Authorized Official
- Name
- MARK KLEINBECK, RPH
- Title
- PRESIDENT
- Phone
- (573) 686-6211
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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