Provider First Line Business Practice Location Address:
1235 E CHEROKEE ST
Provider Second Line Business Practice Location Address:
ST. JOHN'S HOSPITAL INPATIENT PHARMACY
Provider Business Practice Location Address City Name:
SPRINGFIELD
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
65804-2203
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
417-820-5427
Provider Business Practice Location Address Fax Number:
417-820-7788
Provider Enumeration Date:
05/02/2007