OLD TOWN PHARMACY LLC
Suppliers at Chapel Dr, Monett, MO

License number
Missouri 2014010847
Category
Suppliers
Type
Community/Retail Pharmacy
License number
Missouri 2007022497
Category
Suppliers
Type
Community/Retail Pharmacy
Owner
Name: MR. SHANE MICHAEL BECKER PHARMD RPH
Title: OWNER/MANAGER/PIC
Phone: (417) 635-1100
Address
Address
100A Chapel Dr, Monett, MO 65708
National Provider ID: 1578754701
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about OLD TOWN PHARMACY LLC at bizstanding.com

Old Town Pharmacy, LLC

913 Lakewood, Monett, MO 65708

Registration:
Jan 3, 2007
State ID:
LC0786491
Business type:
Limited Liability Company
Expiration:
Perpetual
Agent:
Shane Becker,6385 Farm Rd 1165, Monett, MO 65708 (Physical)

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