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General NPI Number Information
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NPI Number | 1114357761
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Entity Type | Organization
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Legal Business Name | DUFFETT HOLDINGS LLC
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Dates
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Enumeration Date | 11/18/2013
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Last Update Date | 10/21/2025
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Provider Practice Location Address
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Address Line | 508 JOHNNY WALKER LANE SUITE B
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City | RICHMOND
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State | MO
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Zip | 64085
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Country | US
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Telephone | 816-776-6926
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Fax | 816-776-3144
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Provider Business Mailing Address
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Address Line | 508 JOHNNY WALKER LN STE B
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City | RICHMOND
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State | MO
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Zip | 64085-1804
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Country | US
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Telephone | 816-776-6926
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Fax | 816-776-3144
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Authorized Official
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Title or Position | RPH
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Name | SUSAN DUFFETT
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Credential |
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Telephone | 816-776-6926
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 2014000270
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License Number State | MO
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