St. John'S Clinic Inc in Rolla - Pharmacist
St. John'S Clinic Inc - NPI 1043308497
St. John'S Clinic Inc is a Pharmacist in Rolla, Missouri. St. John'S Clinic Inc practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for St. John'S Clinic Inc is 1043308497. The last update date is 2020-08-22.
St. John'S Clinic Inc's current location address is 1100 West 10th Street, Rolla, Missouri. You can contact this provider via phone number 5734264931 and fax number 5734264932. The mailing address for St. John'S Clinic Inc is 1100 West 10th Street, Rolla, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | St. John'S Clinic Inc |
|---|---|
| Address | 1100 West 10th Street, Rolla, Missouri |
| Phone Number | 5734264931 |
| Fax Number | 5734264932 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | RETAIL PHA |
|---|---|
| Authorized Official Name | Shockley D Rob |
| Credentials | RPH |
| Telephone Number | 4178206624 |
NPI Number Detail
| NPI Number | 1043308497 |
|---|---|
| Provider Enumeration Date | 2006-10-11 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1100 West 10th Street |
|---|---|
| City | Rolla |
| State | Missouri (MO) |
| Post Code | 65401 |
| Phone Number | 5734264931 |
| Fax Number | 5734264932 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | 2006027507 |
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Definition: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or m |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| PENDING | MO | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to St. John'S Clinic Inc by the Centers for Medicare & Medicaid Services?
The St. John'S Clinic Inc has been issued the NPI (National Provider Identifier) 1043308497, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the St. John'S Clinic Inc located?
The St. John'S Clinic Inc is located at 1100 West 10Th Street, Rolla, MO 65401.
What is St. John'S Clinic Inc's area of expertise and its corresponding taxonomy classification?
The St. John'S Clinic Inc's field of specialization is Pharmacist, and it falls under the taxonomy code 183500000X, which categorizes healthcare providers based on their areas of practice.
When was the St. John'S Clinic Inc's 1043308497 issued?
The St. John'S Clinic Inc's 1043308497 was issued on 2006-10-11.
As of what date were the details pertaining to St. John'S Clinic Inc last refreshed?
The information related to the St. John'S Clinic Inc, including its address, specialty, and other relevant details, was last updated on 2020-08-22.
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