| 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 | 2024-06-11 |