| NPI | 1669511093 |
|---|---|
| Doing Business As | SOUTHEAST MISSOURI MENTAL HEALTH CENTER PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MOLLY JANE BOECKMANN Director Of Administrative Services 573-751-4055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336I0012X Pharmacy, Institutional Pharmacy (Licence: MO 001820) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2020-08-28 |