Organization · Type 2 NPI

St. John's Physician & Clinic

Pharmacist · Licking, MO

NPI number 1790978765 Active

Practice location

101 North Main Street
Licking, MO 65542

Fax (573) 674-4334

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X006040 (MO)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

About NPI 1790978765

St. John's Physician & Clinic's National Provider Identifier is 1790978765, issued on Aug 23, 2007. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Licking, MO. The record was last updated on Aug 23, 2007.