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GROVE PROFESSIONAL PHARMACY INC

Medical Equipment Supplier Yellow Pages

Springfield, Missouri

Provider NPI: 1366524159

Organization Information:
Organization Name:  GROVE PROFESSIONAL PHARMACY INC


Practice Location:
1522 E SUNSHINE ST  SPRINGFIELD, MO 65804 US
Tel: 417-881-2910  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N3336C0004XSuppliers
Pharmacy
Compounding Pharmacy
N333600000XSuppliers
Pharmacy
Y3336C0003XSuppliers
Pharmacy
MO003203

Other Provider Identifiers:

IssuerNumberStateType
600309801MO05
PK204769001
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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