Organization
KB KIRKSVILLE PHARMACY LLC
Active
Other names
Kirksville Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN ALAN MCCULLOUGH (OWNER)
(417) 876-3313
Entity
Organization
Contact information
Practice address
1611 S BALTIMORE ST STE B, KIRKSVILLE, MO 63501-4521
(660) 956-7010
Mailing address
209 E US HIGHWAY 54, EL DORADO SPRINGS, MO 64744-1925
(417) 876-3313
(417) 876-2326
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
11/21/2019
Last updated
12/12/2019
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