Healthcare Provider Details

I. General information

NPI: 1477761336
Provider Name (Legal Business Name): WESTERN MISSOURI MEDICAL CENTER OUTPATIENT PHARMACY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2007
Last Update Date: 01/05/2026
Certification Date: 01/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

403 BURKARTH RD
WARRENSBURG MO
64093
US

IV. Provider business mailing address

403 BURKARTH RD
WARRENSBURG MO
64093-3101
US

V. Phone/Fax

Practice location:
  • Phone: 660-747-2500
  • Fax: 660-429-2300
Mailing address:
  • Phone: 660-747-2500
  • Fax: 660-429-2300

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number2006035150
License Number StateMO

VIII. Authorized Official

Name: MICHAEL DEAN OHMART
Title or Position: VP/CHIEF FINANCIAL OFFICER
Credential:
Phone: 660-262-7307