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Contact Information

SEMO DRUGS OF KENNETT INC
1300 1ST ST
KENNETT, MO63857-2526
 Phone: 573-888-8880
 Fax: 573-888-3889
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Diabetes Educator

163WD0400X
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for SEMO DRUGS OF KENNETT INC

NPI Number 1548349715
LBN Legal business name SEMO DRUGS OF KENNETT INC
Authorized official JENNA HAWKINS - (PHARMACIST IN CHARGE)
Entity Organization
Organization subpart 1 No
Enumeration date 11/06/2006
Last updated 12/09/2021 - About 4 years ago
Identifiers
MO License # 006018
AR Medicaid 129782407
MO Medicaid 608466009
Other 2047563 PK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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