Organization
CORNERSTONE PHARMACY KENNETT
Active
Other names
Cornerstone Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER SCOTT (MANAGER)
(573) 888-9094
Entity
Organization
Contact information
Practice address
123 1ST ST, KENNETT, MO 63857-2051
(573) 888-9094
(573) 888-5946
Mailing address
123 1ST ST, KENNETT, MO 63857-2051
(573) 888-9094
(573) 888-5946
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
2014012293
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1497174825
—
MO
01
—
2145605
PK
—
Enumeration date
04/14/2014
Last updated
10/15/2014
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