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Individual
MR. KENNETH GREGORY POPP II
Active
Individual
MR. KENNETH GREGORY POPP II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
044833
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
044833
MISSOURI STATE BOARD OF PHARMACY
MO
Enumeration date
01/24/2020
Last updated
01/24/2020
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