Teaco, Inc is a Pharmacist in Kennett, Missouri. Teaco, Inc practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Teaco, Inc is 1356455778. The last update date is 2014-10-30.
Teaco, Inc's current location address is 501 Teaco Rd, Kennett, Missouri. You can contact this provider via phone number 5738886673. The mailing address for Teaco, Inc is 501 Teaco Rd, Kennett, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Teaco, Inc |
|---|---|
| Address | 501 Teaco Rd, Kennett, Missouri |
| Phone Number | 5738886673 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PIC |
|---|---|
| Authorized Official Name | Maddox E Jerid |
| Credentials | PHARM.D. |
| Telephone Number | 5738886673 |
NPI Number Detail
| NPI Number | 1356455778 |
|---|---|
| Provider Enumeration Date | 2006-08-19 |
| Last Updated Date | 2014-10-30 |
Provider Mailing Address Detail
| Address | 501 Teaco Rd |
|---|---|
| City | Kennett |
| State | Missouri (MO) |
| Post Code | 638573721 |
| Phone Number | 5738886673 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | 2004011813 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 60095005 | MO | -- | |
| 2617225 | NCPDP | ||
| 2004011813 | MO | STATE LICENSE # |
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What is the unique 10-digit identifier code issued to Teaco, Inc by the Centers for Medicare & Medicaid Services?
The Teaco, Inc has been assigned the NPI (National Provider Identifier) 1356455778 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Teaco, Inc located?
The Teaco, Inc is located at 501 Teaco Rd, Kennett, MO 638573721.
What is Teaco, Inc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Teaco, Inc is Pharmacist, and the corresponding taxonomy classification code for this specialized field is 183500000X.
On what date did Teaco, Inc receive its 1356455778 assignment from the Centers for Medicare & Medicaid Services?
The Teaco, Inc was assigned its 1356455778 on 2006-08-19, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Teaco, Inc most recently updated or refreshed?
The details pertaining to the Teaco, Inc, including its address, specialty, and other relevant information, were last updated or refreshed on 2014-10-30.