Individual
MR. JOHN MARK JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
600 COURT ST, FULTON, MO 65251
(573) 642-6892
(573) 642-9447
Mailing address
6925 STATE ROAD C, FULTON, MO 65251-6338
(573) 642-7296
(573) 642-9447
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
042269
MO
Other
Enumeration date
08/20/2008
Last updated
08/20/2008
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