Individual
DR. RANDY KYLE MEENTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
105 N. GRAND ST., SUITE 1, GREENFIELD, MO 65661-0158
(417) 637-2909
(417) 637-5621
Mailing address
105 N. GRAND ST., SUITE 1, P.O. BOX 158, GREENFIELD, MO 65661-0158
(417) 637-2909
(417) 637-5621
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
040294
MO
1835G0303X
Geriatric Pharmacist
Primary
040294
MO
1835P1200X
Pharmacotherapy Pharmacist
040294
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
358397800
—
MO
Enumeration date
12/08/2005
Last updated
12/17/2018
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