DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DR. KELLY ALANE DECLERK PHARMD

MEDICARE: DR. KELLY ALANE DECLERK PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist2009036310MO

General Provider Information

NPI Number : 1417446154
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KELLY ALANE DECLERK PHARMD
Provider Business Mailing Address
First Line : 3051 E JACKSON BLVD
Second Line :
City : JACKSON
State : MO
Zip : 63755-2910
Country : US
Telephone Number : 573-204-7360
Fax Number :
Provider Business Practice Location Address
First Line : 3051 E JACKSON BLVD
Second Line :
City : JACKSON
State : MO
Zip : 63755-2910
Country : US
Telephone Number : 573-204-7360
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/08/2018
Last Update Date : 05/08/2018

Similar Medicare Providers

1588681845 — WAL-MART STORES EAST LP
Practice Location Address:
3051 E JACKSON BLVD
JACKSON, MO
63755-2910
Practice Phone: 573-204-7360
Practice Fax:
1962412965 — WAL-MART STORES EAST, LP
Practice Location Address:
3051 E JACKSON BLVD
JACKSON, MO
63755-2910
Practice Phone: 573-243-3909
Practice Fax:
1962664151 — DR. JOEL FRANCIS ALLISON O.D.
Practice Location Address:
3051 E JACKSON BLVD
JACKSON, MO
63755-2910
Practice Phone: 573-204-7301
Practice Fax: 573-204-7304
1619425782 — BENJAMIN SCOTT BUESCHER PHARMD
Practice Location Address:
3051 E JACKSON BLVD
JACKSON, MO
63755-2910
Practice Phone: 573-205-7360
Practice Fax:
1831677640 — JACLYN HITER
Practice Location Address:
3051 E JACKSON BLVD
JACKSON, MO
63755-2910
Practice Phone: 573-204-7360
Practice Fax:
1235731886 — DR. SUZANNE HIGHTOWER
Practice Location Address:
3051 E JACKSON BLVD
JACKSON, MO
63755-2910
Practice Phone: 573-204-7360
Practice Fax:

Directions to “ DR. KELLY ALANE DECLERK PHARMD” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.