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Organization

RINNE PHARMACY LLC

Active
Other names
Rinne Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
JEREMY RINNE PHARMD (OWNER/PIC)
(417) 350-4619
Entity
Organization

Contact information

Practice address
100 DEER LICK ST, LICKING, MO 65542-9081
(573) 674-2995
(573) 674-3001
Mailing address
PO BOX 495, LICKING, MO 65542-0495
(573) 674-2995
(573) 674-3001

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
2014043698
MO
3336L0003X
Long Term Care Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2148776
PK
05
600019101
MO
Enumeration date
12/26/2014
Last updated
04/19/2016
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