Kimberling City Pharmacy, Inc.
NPI #1316043490 in Kimberling City, Missouri
Provider Information
- NPI Number
- 1316043490
- Entity Type
- Organization
- Organization Name
- Kimberling City Pharmacy, Inc.
- Primary Specialty
- Pharmacist
- Enumeration Date
- Sep 15, 2006
- Last Updated
- Oct 6, 2009
Practice Location
- Address
- 41 KIMBERLING CITY CENTER LANE
- City
- Kimberling City
- State
- Missouri
- ZIP Code
- 65686-0908
- Phone
- (417) 739-2273
Authorized Official
- Name
- RUDY JOHNSON, R. PH
- Title
- PHARMACIST OWNER
- Phone
- (417) 739-2273
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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