Key Compounding Pharmacy

NPI 1083838452 - Pharmacy - 3336C0004X

NPI Details
NPI 1083838452
Enumeration Date 04/13/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name MARTIN H MARTIN
Position OWNER
Phone (573) 785-8219
Fax (573) 785-8125
Practice Location
912 NORTH WESTWOOD BLVD
POPLAR BLUFF MO, 63901, US
Phone (573) 785-8219
Fax (573) 785-8125
Business Location
912 NORTH WESTWOOD BLVD
POPLAR BLUFF MO, 63901, US
Phone (573) 785-8219
Fax (573) 785-8125
Toxanomy
Taxonomy Code 3336C0004X
License State Missouri
License Number 2004027988
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According to our database, Key Compounding Pharmacy NPI is 1083838452, taxonomy code is 3336C0004X and license number is 2004027988, license state is located at Missouri. Key Compounding Pharmacy physically located at 912 North Westwood Blvd, Poplar Bluff MO, 63901. NPI Number 1033115704 has the healthcare provider type.

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1083838452 NPI number is provided on an as is basis without warranty of any kind. 1083838452 is maintained by the National Plan & Provider Enumeration System. The contents of Key Compounding Pharmacy are for informational purposes only.