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N E Mo Closed Door Pharmacy L L C

N E Mo Closed Door Pharmacy L L C is a health care provider in Clarence, MO. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 214b N Grand St, Clarence, MO 63437-1604, US
Practice Location Phone660-699-2432
Practice Location Fax
Legal Business NameN E MO CLOSED DOOR PHARMACY L L C
NPI ?1184764573
Entity TypeOrganization
Enumeration Date ? Feb 7, 2007
Last Update Date ? Nov 29, 2013
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of N E Mo Closed Door Pharmacy L L C

SpecialtySpecializationLicenseLicense State
PharmacyLong Term Care Pharmacy 2007001134Missouri

legacy-id-icon Legacy Provider IDs of N E Mo Closed Door Pharmacy L L C

Provider IdIssuer StateIssuer TypeIssuer
626317705MissouriMedicaid

official-icon Authorized Official of N E Mo Closed Door Pharmacy L L C

An authorized official is an appointed official with the legal authority to make changes and/or updates to the N E Mo Closed Door Pharmacy L L C's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official James Johnston (PHARM D)
Authorized Official Title/PositionOWNER
Authorized Official Phone Number660-699-2432