Healthcare Provider Details

I. General information

NPI: 1003906546
Provider Name (Legal Business Name): CARTER'S PHARMACEUTICAL SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/13/2006
Last Update Date: 06/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18215 A HWY 45 NORTH
WESTON MO
64098
US

IV. Provider business mailing address

18215 A HWY 45 NORTH
WESTON MO
64098
US

V. Phone/Fax

Practice location:
  • Phone: 816-386-5541
  • Fax: 816-386-5398
Mailing address:
  • Phone: 816-386-5541
  • Fax: 816-386-5398

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number5548
License Number StateMO

VIII. Authorized Official

Name: THEA KNOX
Title or Position: MANAGER
Credential:
Phone: 816-386-5541