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General NPI Number Information
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NPI Number | 1639768336
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Entity Type | Individual
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Provider Name | J. KEVIN HOWARD B.S. PHARM, R.PH.
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Gender | Male
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Dates
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Enumeration Date | 01/16/2021
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Last Update Date | 01/16/2021
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Provider Practice Location Address
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Address Line | 604A E SOUTH ST
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City | OZARK
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State | MO
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Zip | 65721-8912
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Country | US
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Telephone | 417-581-7777
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Fax | 417-581-8152
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Provider Business Mailing Address
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Address Line | 604A E SOUTH ST
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City | OZARK
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State | MO
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Zip | 65721-8912
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Country | US
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Telephone | 417-581-7777
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Fax | 417-581-8152
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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 | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 2019045775
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 2019045775
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License Number State | MO
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