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NPI 1407885957

NPI 1407885957 : MICHAEL E MCKNIGHT BSPHARM : POWERSITE, MO

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General NPI Number Information
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    NPI Number           |    1407885957
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    Entity Type          |    Individual 
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    Provider Name        |    MICHAEL E MCKNIGHT BSPHARM
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    06/30/2006
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    303 FIELD RD 
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    City                 |    POWERSITE
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    State                |    MO
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    Zip                  |    65731-3145
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    Country              |    US
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    Telephone            |    417-335-1403
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    Fax                  |    417-337-7759
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Provider Business Mailing Address
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    Address Line         |    303 FIELD RD 
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    City                 |    POWERSITE
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    State                |    MO
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    Zip                  |    65731-3145
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    Country              |    US
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    Telephone            |    417-335-1403
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    Fax                  |    417-337-7759
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    183500000X
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    Taxonomy Name        |    Pharmacist
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    License Number       |    043074
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    License Number State |    MO
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Taxonomy #2
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    Taxonomy Code        |    1835P1200X
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    Taxonomy Name        |    Pharmacotherapy Pharmacist
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    License Number       |    043074
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    License Number State |    MO
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Taxonomy #3
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    Taxonomy Code        |    1835P1300X
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    Taxonomy Name        |    Psychiatric Pharmacist
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    License Number       |    043074
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    License Number State |    MO
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