DR. Jerid Maddox, PHARM.D.

NPI #1013060854 in Kennett, Missouri

Provider Information

NPI Number
1013060854
Entity Type
Individual
Name
DR. Jerid Maddox, PHARM.D.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Pharmacist
Credential
PHARM.D.
Enumeration Date
Jan 18, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
501 TEACO RD
ZIP Code
63857-3721
Phone
(573) 888-6673

Specialties & Taxonomy Codes

Specialty
Pharmacist

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