Semo Drug of Kennett

NPI #1053514356 in Kennett, Missouri

Provider Information

NPI Number: 1053514356
Entity Type: Organization
Organization Name: Semo Drug of Kennett
Primary Specialty: Pharmacy
Enumeration Date: Jun 6, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 1312 1ST ST
City: Kennett
State: Missouri
ZIP Code: 63857-2526
Phone: (573) 888-8880

Authorized Official

Name: DR. TYSON WALLACE, PHARM.D.
Title: PHARMACY MANAGER
Phone: (573) 888-8880

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacy	333600000X	Primary

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