Organization · Type 2 NPI

C&p Viburnum Ventures LLC

Community/Retail Pharmacy · Viburnum, MO

NPI number 1184092793 Active

Practice location

1 Viburnum Center Rd Ste B
Viburnum, MO 65566-7802

Call (573) 244-3784 Map

Fax (573) 244-3700

Mailing address

450 County Road 139
Alton, MO 65606-8221

Specialties and licenses

Taxonomy	Code	License
Pharmacy	333600000X	None listed
Community/Retail Pharmacy Primary	3336C0003X	2015037740 (MO)
Compounding Pharmacy	3336C0004X	None listed

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

NPI record

NPI: 1184092793
Entity type: Organization (Type 2)
Issued: Sep 14, 2015
Last updated: Apr 27, 2023
Status: Active

Other names

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Iron County Drug Store · doing business as
Iron County Drug Store · doing business as

Authorized official

Rebeca Walters-Peace
Owner-Rph
(417) 778-6807

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1184092793

C&p Viburnum Ventures LLC's National Provider Identifier is 1184092793, issued on Sep 14, 2015. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Viburnum, MO. The record was last updated on Apr 27, 2023.