Jordan Valley Community Health Center-pharmacy is not a DME supplier for medicare equipments and products.
Jordan Valley Community Health Center-pharmacy is a Federally Qualified Health Center (FQHC) in Lebanon, Missouri. This pharmacy is owned and operated by Advocates For A Healthy Community, Inc. It is located at 860 Lynn St, Lebanon and it's customer support contact number is 417-831-0150. The authorized person of Jordan Valley Community Health Center-pharmacy is Mr. Kenneth Brooks Miller Jr. who is Executive Director of the pharmacy and his contact number is 417-831-0150. Jordan Valley Community Health Center-pharmacy is definition to come...
Pharmacy Details:
Jordan Valley Community Health Center-pharmacy type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
Name:
Jordan Valley Community Health Center-pharmacy
Type:
Federally Qualified Health Center (FQHC)
Location:
860 Lynn St, Lebanon, Missouri, 65536-3832
Phone:
417-831-0150
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
Name:
Mr. Kenneth Brooks Miller Jr.
Position:
Executive Director
Contact Number:
417-831-0150
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
NPI Number:
1477657658
NPI Enumeration Date:
11 Sep, 2006
NPI Last Update On:
02 Dec, 2021
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jordan Valley Community Health Center-pharmacy are as mentioned below.
Specialization
License Number
State
Status
Federally Qualified Health Center (FQHC)
Primary
Clinic Pharmacy
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
PENDING
Medicaid
Missouri
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
440 E Tampa St, Springfield, Missouri
Zip:
65806-1131
Phone Number:
417-851-1551
Fax Number:
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Patients can reach Jordan Valley Community Health Center-pharmacy at 860 Lynn St, Lebanon, Missouri or can call on customer care at 417-831-0150.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.
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