Four States Apothecary LLC
NPI #1952876948 in Carl Junction, Missouri
Provider Information
- NPI Number
- 1952876948
- Entity Type
- Organization
- Organization Name
- Four States Apothecary LLC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Oct 5, 2018
- Last Updated
- Oct 5, 2018
Practice Location
- Address
- 102 S MAIN ST
- City
- Carl Junction
- State
- Missouri
- ZIP Code
- 64834-1000
- Phone
- (417) 649-7021
Authorized Official
- Name
- DR. MARK STEVEN MAYBERRY JR., PHARMD
- Title
- PHARMACY OWNDER
- Phone
- (417) 529-1815
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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