GROVE PROFESSIONAL PHARMACY INC
1522 E Sunshine St
Springfield, MO 65804
417-881-2910
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 3336C0004X | Suppliers - Pharmacy - Compounding Pharmacy | ||
N | 333600000X | Suppliers - Pharmacy | ||
Y | 3336C0003X | Suppliers - Pharmacy | MO | 003203 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
600309801 | MO | MEDICAID | |
PK | 2047690 | OTHER |