Jerid Maddox is a Pharmacist in Kennett, Missouri. Jerid Maddox practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Jerid Maddox is 1013060854. The last update date is 2007-07-08.
Jerid Maddox's current location address is 501 Teaco Rd, Kennett, Missouri. You can contact this provider via phone number 5738886673. The mailing address for Jerid Maddox is 501 Teaco Rd, Kennett, Missouri. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jerid Maddox |
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Address | 501 Teaco Rd, Kennett, Missouri |
Phone Number | 5738886673 |
Fax Number | |
Sole Proprietor | Y |
Credentials | PHARM.D. |
NPI Number Detail
NPI Number | 1013060854 |
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Provider Enumeration Date | 2007-01-18 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 501 Teaco Rd |
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City | Kennett |
State | Missouri (MO) |
Post Code | 638573721 |
Phone Number | 5738886673 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Pharmacist |
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Taxonomy | 183500000X |
Licence No | 2004005637 |
Definition: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or m |
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What is the Jerid Maddox's unique identification number?
The Jerid Maddox has been assigned the NPI (National Provider Identifier) Number 1013060854 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Jerid Maddox's facilities are situated?
The facilities of Jerid Maddox are physically located at the following address: 501 Teaco Rd, Kennett, MO, 638573721.
What is Jerid Maddox's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jerid Maddox is Pharmacist, and the taxonomy code that classifies this field of practice is 183500000X.
When did Jerid Maddox receive its 1013060854 assignment?
The Jerid Maddox was assigned its 1013060854 on 2007-01-18, which is the date when this unique identifier was issued to the organization.
When was the information regarding Jerid Maddox, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Jerid Maddox, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.
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