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ADVOCATES FOR A HEALTHY COMMUNITY, INC.

Suppliers Pharmacy Clinic Pharmacy

Provider NPI: 1891236170

Organization Information:
Organization Name:  ADVOCATES FOR A HEALTHY COMMUNITY, INC.
Organization is not Subpart
Authorized Official:  K BROOKS MILLER  PRESIDENT/CEO  417-851-1551

Practice Location:
860 LYNN ST  LEBANON, MO 65536-3832 US
Tel: 417-334-8337  Fax: --

Business Mailing Address:
860 LYNN ST  LEBANON, MO 65536-3832 US
Tel: 417-334-8337  Fax: --

NPI Information:
NPI: 1891236170
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N3336C0002XSuppliers
Pharmacy
Clinic Pharmacy
Y261QF0400XAmbulatory Health Care Facilities
Clinic/Center

Other Provider Identifiers:

IssuerNumberStateType
PENDINGMO05



American Medical Association 2012 taxonomy code information

Code: 261QF0400X

Type:

Classification:



Definition:



MEDICAL JOBS MO - Page 1

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