Knl Prescriptions LLC
Pharmacy, Community/Retail Pharmacy in Cape Girardeau, MO. Organization (NPI-2).
NPI number1265421663
StatusActive
Last updated in NPPESJul 19, 2018
Details
- NPI
- 1265421663
- Entity type
- Organization (NPI-2)
- Legal business name
- Knl Prescriptions LLC
- Organization subpart
- No
- Enumeration date
- Oct 18, 2005
- Last updated
- Jul 19, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | 2011012280 | MO | Yes |
| 333600000X | Pharmacy | – | – | |
| 3336M0002X | Pharmacy, Mail Order Pharmacy | – | – | |
| 3336S0011X | Pharmacy, Specialty Pharmacy | – | – |
Other names
- Broadway Pharmacy (Doing Business As)
Practice location
710 Broadway StCape Girardeau, MO 63701-5514
Phone 573-335-8207 · Fax 573-335-4904
Mailing address
37 Doctors Park # 7Cape Girardeau, MO 63703-4956
Phone 573-803-2040 · Fax 573-335-4904
Authorized official
Kevin Wood
Owner
5733358207
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