Jerid Maddox PHARM.D.

NPI 1013060854 - Pharmacist - 183500000X

NPI Details
NPI 1013060854
Gender Male
Enumeration Date 01/18/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
501 TEACO RD
KENNETT MO, 63857-3721, US
Phone (573) 888-6673
Fax
Business Location
501 TEACO RD
KENNETT MO, 63857-3721, US
Phone (573) 888-6673
Fax
Toxanomy
Taxonomy Code 183500000X
License State Missouri
License Number 2004005637
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According to our database, Dr. Jerid Maddox PHARM.D. NPI is 1013060854, taxonomy code is 183500000X and license number is 2004005637, license state is located at Missouri. Jerid Maddox PHARM.D. physically located at 501 Teaco Rd, Kennett MO, 63857-3721. NPI Number Jerid Maddox PHARM.D. has the Individual type.

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1013060854 NPI number is provided on an as is basis without warranty of any kind. 1013060854 is maintained by the National Plan & Provider Enumeration System. The contents of Jerid Maddox PHARM.D. are for informational purposes only.