Teaco, INC

NPI #1356455778 in Kennett, Missouri

Provider Information

NPI Number: 1356455778
Entity Type: Organization
Organization Name: Teaco, INC
Primary Specialty: Pharmacist
Enumeration Date: Aug 19, 2006
Last Updated: Oct 30, 2014

Practice Location

Address: 501 TEACO RD
City: Kennett
State: Missouri
ZIP Code: 63857-3721
Phone: (573) 888-6673

Authorized Official

Name: MR. JERID E MADDOX, PHARM.D.
Title: PIC
Phone: (573) 888-6673

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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