MR. Richard C Bosworth I, PHARMACIST

NPI #1912509100 in Republic, Missouri

Provider Information

NPI Number: 1912509100
Entity Type: Individual
Name: MR. Richard C Bosworth I, PHARMACIST
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: PHARMACIST
Enumeration Date: Nov 12, 2020
Last Updated: Nov 12, 2020

Practice Location

Address: 1150 US HIGHWAY 60 E
City: Republic
State: Missouri
ZIP Code: 65738-1580
Phone: (816) 617-7425

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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