Organization
KIEFER THOMPSON PHARMA
Active
Other names
Chaffee Drug Store
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRYAN THOMAS KIEFER RPH (OWNER/PHARMACIST)
(573) 887-3622
Entity
Organization
Contact information
Practice address
211 W YOAKUM AVE, CHAFFEE, MO 63740-1138
(573) 887-3622
(573) 887-3309
Mailing address
211 W YOAKUM AVE, CHAFFEE, MO 63740-1138
(573) 887-3622
(573) 887-3309
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2048790
PK
—
05
—
600280002
—
MO
01
—
NCPDP
2605472
MO
Enumeration date
05/28/2006
Last updated
08/08/2020
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