Individual
RON PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1500 1ST ST, KENNETT, MO 63857-2522
(573) 888-4543
Mailing address
1500 1ST ST, KENNETT, MO 63857-2522
(573) 888-4543
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
040584
MO
Other
Enumeration date
10/28/2020
Last updated
10/28/2020
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