Gideon Pharmacy Llc

NPI 1053702118 - Pharmacy - 3336C0003X

NPI Details
NPI 1053702118
Enumeration Date 02/11/2015
Last Updated 02/11/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name MARK MARK
Position CHIEF EXECUTIVE MANAGER
Phone (573) 448-3333
Fax (573) 448-3335
Practice Location
111 MAIN STREET
GIDEON MO, 63848, US
Phone (573) 448-3333
Fax (573) 448-3335
Business Location
120 WINTERFIELD CIR
CAPE GIRARDEAU MO, 63701-8414, US
Phone (573) 448-3333
Fax (573) 448-3335
Toxanomy
Taxonomy Code 3336C0003X
License State
License Number
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According to our database, Gideon Pharmacy Llc NPI is 1053702118, taxonomy code is 3336C0003X Gideon Pharmacy Llc physically located at 111 Main Street, Gideon MO, 63848. NPI Number 1033115704 has the healthcare provider type.

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1053702118 NPI number is provided on an as is basis without warranty of any kind. 1053702118 is maintained by the National Plan & Provider Enumeration System. The contents of Gideon Pharmacy Llc are for informational purposes only.