NPI 1053712109

Citizens Memorial Hospital District

Organisation Community/Retail Pharmacy Bolivar, MO

Practice location

Address: 1301-B North Oakland, Bolivar, MO 65613
Phone: (417) 326-6003
Fax: (417) 777-5806
Mailing address: 1500 N Oakland Ave, Bolivar, MO 65613-3011

Authorised official

Name: Donald Babb
Title: Ceo
Phone: (417) 326-6501

Registered specialties (2)

Community/Retail Pharmacy Primary

Suppliers Taxonomy 3336C0003X Licence 2002031104 (MO)

Other Pharmacy providers in Missouri →

Long Term Care Pharmacy

Suppliers Taxonomy 3336L0003X

Registry record

NPI: 1053712109
Entity type: Organization
NPI issued: 9 Sep 2014
Record last updated: 9 Nov 2015

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.