Whalio Doctors

NPI 1003983859

Madison Memorial Hospital Stockhoff Memorial Nursing Home

Organisation Pharmacy Fredericktown, MO

Practice location

Address
611 West Main Street, Fredericktown, MO 63645
Phone
(573) 783-3341
Fax
(573) 783-1096
Mailing address
PO Box 431 611 West Main Street, Fredericktown, MO 63645

Authorised official

Name
Lisa Marie Twidwell
Title
Cfo
Phone
(573) 783-3341

Registered specialties

Pharmacy Primary
Suppliers Taxonomy 333600000X

Registry record

NPI
1003983859
Entity type
Organization
NPI issued
29 Nov 2006
Record last updated
22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.