Organization
KREISLER DRUG #3
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL HENDRICKS (PHARMACIST)
(660) 885-6589
Entity
Organization
Contact information
Practice address
1810 E OHIO ST, CLINTON, MO 64735-2429
(660) 885-2227
(660) 885-6589
Mailing address
PO BOX 528, CLINTON, MO 64735-0528
(660) 885-2227
(660) 885-6589
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
PS004203
MO
Other
Enumeration date
03/28/2007
Last updated
08/22/2020
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