MEDICARE: HALLEY JO DORN PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	2020020029	MO

General Provider Information

NPI Number	:	1740808948
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HALLEY JO DORN PHARMD

Provider Business Mailing Address
First Line	:	896 COUNTY ROAD 28
Second Line	:
City	:	BOLCKOW
State	:	MO
Zip	:	64427-9658
Country	:	US
Telephone Number	:	402-440-6589
Fax Number	:

Provider Business Practice Location Address
First Line	:	402 E PRICE AVE
Second Line	:
City	:	SAVANNAH
State	:	MO
Zip	:	64485-1742
Country	:	US
Telephone Number	:	816-324-5111
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/14/2020
Last Update Date	:	07/21/2020

Similar Medicare Providers

1730174616 — ANNE M BARR ENTERPRISES, LLC
Practice Location Address:

402 E PRICE AVE
SAVANNAH, MO
64485-1742

Practice Phone: 816-324-5111
Practice Fax: 816-324-5163

1528198983 — MRS. ANNE MARIE BARR RPH
Practice Location Address:

402 E PRICE AVE
SAVANNAH, MO
64485-1742

Practice Phone: 816-324-5111
Practice Fax: 816-324-5163

1003406125 — WILLIAM JEFFREY LANGDON
Practice Location Address:

402 E PRICE AVE
SAVANNAH, MO
64485-1742

Practice Phone: 816-324-5111
Practice Fax:

1790789691 — WESLEY DUNN R.PH.
Practice Location Address:

102 S 5TH ST
SAVANNAH, MO
64485-1644

Practice Phone: 816-324-5955
Practice Fax: 816-324-6429

1336144310 — DR. THOMAS DAVID RUCKER DDS
Practice Location Address:

1107 S. CATALPA ST.
SAVANNAH, MO
64485

Practice Phone: 816-383-1925
Practice Fax:

1003800780 — POIRIER PHARMACY, INC
Practice Location Address:

102 S 5TH ST
SAVANNAH, MO
64485-1644

Practice Phone: 816-324-5955
Practice Fax: 816-324-6429

Directions to “ HALLEY JO DORN PHARMD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.