Individual
CLEORA KATHERINE JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
54 HOSPITAL DR, OSAGE BEACH, MO 65065-3050
(417) 532-4431
(417) 532-4431
Mailing address
1057 MEDICAL PARK DR, OSAGE BEACH, MO 65065-3000
(573) 302-2700
(573) 302-2701
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2011027373
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2011027373
PHARMACIST LICENSE
MO
Enumeration date
09/16/2011
Last updated
06/19/2023
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