| NPI | 1033347828 |
|---|---|
| Doing Business As | JORDAN VALLEY COMMUNITY HEALTH CENTER PHARMACY #2 |
| Entity Type | Organization |
| Authorized Contact | MATTHEW STINSON CEO 417-831-0150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MO 2009017150) |
| Additional Taxonomies | 3336C0002X Pharmacy, Clinic Pharmacy |
| Enumeration Date | 2009-06-30 |
| Last Update Date | 2024-07-30 |