Individual
DOUGLAS FAULKNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
810 S 37TH ST, BETHANY, MO 64424
(660) 425-4430
(660) 425-3539
Mailing address
810 S 37TH ST, BETHANY, MO 64424
(660) 425-4430
(660) 425-3539
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
041089
MO
Other
Enumeration date
10/30/2020
Last updated
10/30/2020
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