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Individual

RICHARD JAMES KOHOUT

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
R.PH.

Contact information

Practice address
3844 S LINDBERGH BLVD, SUITE 150, SUNSET HILLS, MO 63127-1368
(314) 525-0415
(314) 525-0401
Mailing address
837 WHEELWRIGHT DR, MANCHESTER, MO 63021-6658
(636) 391-0368

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
027499
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2003002133
STATE PHARMACY LICENSE NO
MO
Enumeration date
06/05/2006
Last updated
03/07/2023
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