NPI | 1275084865 |
---|---|
Doing Business As | JOHN'S PHARMACY POPLAR BLUFF |
Entity Type | Organization |
Authorized Contact | ABRAHAM FUNK Owner 573-785-0984 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MO 2016042382) |
Additional Taxonomies | 333600000X Pharmacy |
3336C0004X Pharmacy, Compounding Pharmacy | |
3336L0003X Pharmacy, Long Term Care Pharmacy | |
Enumeration Date | 2016-10-18 |
Last Update Date | 2025-09-19 |