Individual
CARL HEFNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1475 W SOUTH ST, OZARK, MO 65721-7329
(417) 860-7424
Mailing address
378 PERSIMMON RD, OZARK, MO 65721-8164
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28798
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28798
REGISTERED PHARMACIST
MO
Enumeration date
05/20/2014
Last updated
05/20/2014
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