Organization
JONES DRUG STORE INC
Active
Organization
JONES DRUG STORE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRYAN T KIEFER RPH (PHARMACIST, OWNER)
(573) 238-4177
Entity
Organization
Contact information
Practice address
125 COURT ST, JACKSON, MO 63755-1807
(573) 243-3524
(573) 243-2155
Mailing address
125 COURT ST, JACKSON, MO 63755-1807
(573) 243-3524
(573) 243-2155
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
600130504
—
MO
Enumeration date
09/27/2022
Last updated
09/27/2022
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