Organization
KB KIRKSVILLE PHARMACY LLC
Active
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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