Kinkead Pharmacy, Inc.

NPI 1033255179 - Pharmacy - 3336C0003X

NPI Details
NPI 1033255179
Enumeration Date 01/29/2007
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name MICHAEL A MICHAEL
Position PRES
Phone (573) 682-2155
Fax
Practice Location
105 S ALLEN ST
CENTRALIA MO, 65240-1303, US
Phone (573) 682-2155
Fax
Business Location
105 S ALLEN ST
CENTRALIA MO, 65240-1303, US
Phone (573) 682-2155
Fax
Toxanomy
Taxonomy Code 3336C0003X
License State Missouri
License Number 041845
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According to our database, Kinkead Pharmacy, Inc. NPI is 1033255179, taxonomy code is 3336C0003X and license number is 041845, license state is located at Missouri. Kinkead Pharmacy, Inc. physically located at 105 S Allen St, Centralia MO, 65240-1303. NPI Number 1033115704 has the healthcare provider type.

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1033255179 NPI number is provided on an as is basis without warranty of any kind. 1033255179 is maintained by the National Plan & Provider Enumeration System. The contents of Kinkead Pharmacy, Inc. are for informational purposes only.