Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

St John's Physician & Clinic

Organization Pharmacist · NPI 1790978765

St John's Physician & Clinic is a Pharmacist in Licking, Missouri. Licensed in Missouri. Registered with an NPI since 2007.

Licensed in
MO
In the registry since
2007

Practice location Address checks out

101 N Main St
Licking, MO 65542
Phone: (573) 674-2922
Fax: (573) 674-4334
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 006040 (MO)

Record details

NPI number1790978765
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rob Shockley — Retail Coordinator · (417) 820-6624
Other names St. John'S Sisk Pharmacy
NPI enumeratedAugust 23, 2007
Last updated in NPPESAugust 23, 2007
Mailing address101 North Main Street, Licking, MO 65542

Other providers in Licking