NPI | 1811180466 |
---|---|
Doing Business As | ST. JOHN'S PHARMACY-FREMONT |
Entity Type | Organization |
Authorized Contact | ROB SHOCKLEY Retail Pharmacy Coordinator 417-820-6624 |
Organization Subpart ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: MO 006618) |
Enumeration Date | 2007-08-27 |
Last Update Date | 2007-08-27 |