TEACO, INC
Pharmacy at Teaco Rd, Caruth, MO

License number
Missouri 2004011813
Category
Pharmacy
Type
Pharmacist
Owner
Name: MR. JERID E MADDOX PHARM.D.
Title: PIC
Phone: (573) 888-6673
Address
Address
501 Teaco Rd, Caruth, MO 63857
National Provider ID: 1356455778
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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TEACO, INC

501 Teaco, Kennett, MO 63857

Industry:
Ret Drugs/Sundries
Registration:
Mar 20, 2002
State ID:
00506927
Business type:
Gen. Business - For Profit
Expiration:
Perpetual
Director Of Pharmacy:
Jerid Maddox (Director Of Pharmacy)
Agent:
Cpa Sarah Jo Morgan,1091 Commerce Dr, Kennett, MO 63857 (Physical)

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