Health Care Pharmacy Of Perryville, LLC
Pharmacy, Long Term Care Pharmacy in Perryville, MO. Organization (NPI-2).
NPI number1902461908
StatusActive
Last updated in NPPESDec 3, 2021
Details
- NPI
- 1902461908
- Entity type
- Organization (NPI-2)
- Legal business name
- Health Care Pharmacy Of Perryville, LLC
- Organization subpart
- No
- Enumeration date
- May 6, 2019
- Certification date
- Dec 3, 2021
- Last updated
- Dec 3, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336L0003X | Pharmacy, Long Term Care Pharmacy | – | – | Yes |
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – |
Other names
- Healthcare Healthwise Pharmacy (Doing Business As)
Practice location
628 N Old St Marys RdPerryville, MO 63775
Phone 573-547-2517
Mailing address
628 N Old St Marys RdPerryville, MO 63775
Phone 573-547-2517
Authorized official
Savanna Grogg
Manager
5735354911
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