Individual
CHARLES DAVID KERR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2650 W KEARNEY ST, SPRINGFIELD, MO 65803-2037
(417) 865-1547
Mailing address
2586 W CYNTHIA ST, SPRINGFIELD, MO 65810-1311
(417) 343-0635
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
043743
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2003031778
PHARMACY PERMIT
MO
05
—
606075505
—
MO
Enumeration date
08/26/2010
Last updated
08/26/2010
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