Organization
AHNEFELD PHARM LLC
Active
Other names
Jodi's Family Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JODI DAWN AHNEFELD PHARMD, RPH (OWNER/PIC)
(816) 560-3337
Entity
Organization
Contact information
Practice address
1004 N US HIGHWAY 65, CARROLLTON, MO 64633-1971
(660) 542-0050
Mailing address
1004 N US HIGHWAY 65, CARROLLTON, MO 64633-1971
(660) 542-0050
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2018039905
MISSOURI BOARD OF PHARMACY
MO
Enumeration date
11/01/2018
Last updated
11/01/2018
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