Healthcare Provider Details

I. General information

NPI: 1659288108
Provider Name (Legal Business Name): KATHY SWEAT RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/27/2026
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

514 N 39TH ST
BETHANY MO
64424-2706
US

IV. Provider business mailing address

1722 LOOKOUT RD
BETHANY MO
64424-9700
US

V. Phone/Fax

Practice location:
  • Phone: 660-425-0268
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number044512
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: