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Individual

J. KEVIN HOWARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
B.S. PHARM, R.PH.

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
2019045775
MO
3336C0003X
Community/Retail Pharmacy
Primary
2019045775
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
043997
MISSOURI PHARMACIST PERMIT
MO
Enumeration date
01/16/2021
Last updated
01/16/2021
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