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Individual

J. KEVIN HOWARD

Active
Sole proprietor
Yes

Provider details

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

Contact information

Practice address
604A E SOUTH ST, OZARK, MO 65721-8912
(417) 581-7777
(417) 581-8152
Mailing address
604A E SOUTH ST, OZARK, MO 65721-8912
(417) 581-7777
(417) 581-8152

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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