Organization
DUFFETT HOLDINGS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN DUFFETT (RPH)
(816) 776-6926
Entity
Organization
Contact information
Practice address
508 JOHNNY WALKER LANE, SUITE B, RICHMOND, MO 64085
(816) 776-6926
(816) 776-3144
Mailing address
508 JOHNNY WALKER LN STE B, RICHMOND, MO 64085-1804
(816) 776-6926
(816) 776-3144
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2014000270
MO
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2143674
PK
—
05
—
601710403
—
MO
Enumeration date
11/18/2013
Last updated
10/21/2025
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