Organization
DUFFETT HOLDINGS 2, LLC
Active
Other names
Minuteman Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN DUFFETT (OWNER)
(816) 517-0395
Entity
Organization
Contact information
Practice address
545 S BUSINESS HIGHWAY 13, LEXINGTON, MO 64067-1437
(660) 259-3455
(660) 259-2424
Mailing address
545 S BUSINESS HIGHWAY 13, LEXINGTON, MO 64067-1437
(660) 259-3455
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
2015029319
MO
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2153530
PK
—
05
—
600024994
—
MO
Enumeration date
08/18/2015
Last updated
01/05/2022
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