NPI Provider: 1518989961
Contact Name: Scott Nancy
Position: owner/operator/pharmacy technician
Phone: (660) 265-3779
Owl Pharmacy Information:
Owl Pharmacy organization have npi 1518989961, taxonomy code is 3336C0003X with license number is 2004008818 in . This Business address located in 111 E 2nd street, Milan, MO 63556 Missouri.
Practice Location
Address: 111 E 2nd St, Milan, MO 63556
Phone: (660) 265-3587
Business Location
Address: 111 E 2nd street, Milan, MO 63556
Phone: (660) 265-3587
Fax: (660) 265-3966
Taxonomy
Taxonomy Code: 3336C0003X
License Number: 2004008818
License Number of State: MO
Primary Taxonomy Switch: Y
Enumeration Date: 7/24/2006
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