Organization · Type 2 NPI

Ste Genevieve County Memorial Hospital

Community/Retail Pharmacy · Bloomsdale, MO

NPI number 1699028415 Active

Practice location

255 Boderman, Suite 1E
Bloomsdale, MO 63627

Call (573) 483-2626 Map

Fax (573) 883-1185

Mailing address

800 Ste Genevieve Dr
Ste Genevieve, MO 63670-1434

Specialties and licenses

Taxonomy	Code	License
Pharmacy	333600000X	None listed
Community/Retail Pharmacy Primary	3336C0003X	2012036011 (MO)

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 …

13 other providers at this address

NPI record

NPI: 1699028415
Entity type: Organization (Type 2)
Issued: Oct 17, 2012
Last updated: Sep 18, 2026
Status: Active

Other names

<unavail>
Bloomsdale Pharmacy · doing business as
Bloomsdale Pharmacy · doing business as

Authorized official

Scott Griffin
Revenue Cycle Director
(573) 883-4473

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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 1699028415

Ste Genevieve County Memorial Hospital's National Provider Identifier is 1699028415, issued on Oct 17, 2012. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Bloomsdale, MO. The record was last updated on Sep 18, 2026.