Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ST. JOHN'S PHYSICIAN & CLINIC
Active OrganizationST. JOHN'S PHYSICIAN & CLINIC is a Pharmacist organization located in LICKING, Missouri. NPI 1790978765 is currently active in the NPPES registry. Verify at CMS.
Pharmacist · LICKING, MO
Registration Details
- NPI Number
- 1790978765
- Provider Type
- Organization
- NPI Issued
- Aug 23, 2007 (18.971630853824 yrs)
- Last Updated
- Aug 23, 2007
- License
-
006040 (MO)
Practice Information
- Address
-
101 NORTH MAIN STREETLICKING, MO, 65542Browse MO providers · Browse ZIP 65542
- Phone
- 5736742922
- Fax
- 5736744334
- Primary Specialty
-
Pharmacist
183500000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.