| NPI | 1043308497 |
|---|---|
| Doing Business As | ST. JOHN'S PHARMACY-ROLLA |
| Entity Type | Organization |
| Authorized Contact | ROB D SHOCKLEY Retail Pharmacy Coordinator 417-820-6624 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MO 2006027507) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2020-08-22 |