Organization
SEMO DRUGS OF KENNETT INC
Active
Other names
SEMO DRUGS OF KENNETT
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNA HAWKINS PHARM D (PHARMACIST IN CHARGE)
(573) 888-8880
Entity
Organization
Contact information
Practice address
1300 1ST ST, KENNETT, MO 63857-2526
(573) 888-8880
(573) 888-3889
Mailing address
1300 1ST ST, KENNETT, MO 63857-2526
(573) 888-8880
(573) 888-3889
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
006018
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
129782407
—
AR
01
—
2047563
PK
—
05
—
608466009
—
MO
Enumeration date
11/06/2006
Last updated
12/09/2021
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