Organization
CLARK COUNTY PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY MCKEE (OWNER PHARMACIST)
(660) 727-2214
Entity
Organization
Contact information
Practice address
250 S JOHNSON ST, KAHOKA, MO 63445-1635
(660) 727-2214
(660) 727-2764
Mailing address
250 S JOHNSON ST, KAHOKA, MO 63445-1635
(660) 727-2214
(660) 727-2764
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
004723
MO
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2047958
PK
—
05
—
600119309
—
MO
05
—
620119305
—
MO
Enumeration date
02/21/2007
Last updated
10/14/2021
Update your record
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