Organization
KREISLER CLNIC PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY D. KLINE-RADFORD RPH (PHARMACIST IN CHARGE)
(660) 885-4646
Entity
Organization
Contact information
Practice address
1602 N. SECOND ST., CLINTON, MO 64735
(660) 885-4646
Mailing address
PO BOX 528, CLINTON, MO 64735
(660) 885-4646
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
5423
MO
Other
Enumeration date
09/15/2006
Last updated
08/22/2020
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