Gant Pharmacy Services Inc

NPI 1427043413 - Pharmacist - 183500000X

NPI Details
NPI 1427043413
Enumeration Date 09/15/2005
Last Updated 03/18/2015
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name RUSSELL RUSSELL
Position PRESIDENT/OWNER
Phone (417) 256-2274
Fax (417) 256-1036
Practice Location
805 N KENTUCKY ST
SUITE 2
WEST PLAINS MO, 65775-2022, US
Phone (417) 256-2274
Fax (417) 256-1036
Business Location
805 N KENTUCKY ST
SUITE 2
WEST PLAINS MO, 65775-2022, US
Phone (417) 256-2274
Fax (417) 256-1036
Toxanomy
Taxonomy Code 183500000X
License State Missouri
License Number 005315
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According to our database, Gant Pharmacy Services Inc NPI is 1427043413, taxonomy code is 183500000X and license number is 005315, license state is located at Missouri. Gant Pharmacy Services Inc physically located at 805 N Kentucky St, West Plains MO, 65775-2022. NPI Number 1033115704 has the healthcare provider type.

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1427043413 NPI number is provided on an as is basis without warranty of any kind. 1427043413 is maintained by the National Plan & Provider Enumeration System. The contents of Gant Pharmacy Services Inc are for informational purposes only.