Organization
TEACO, INC
Active
Other names
Downtown Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JERID MADDOX PHARM.D. (OWNER)
(573) 888-6673
Entity
Organization
Contact information
Practice address
123 1ST ST, KENNETT, MO 63857-2051
(573) 888-9094
Mailing address
501 TEACO RD, KENNETT, MO 63857-3721
(573) 888-6673
(573) 888-3951
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
03/28/2014
Last updated
03/28/2014
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