SearchMissouri183500000X

Jerid Maddox, PHARM.D

NPI 1013060854 · on the registry since 2007 · sole proprietor

Practice

Address
501 Teaco Rd
Kennett, MO 63857
Phone
(573) 888-6673
Organisation at this address
Teaco, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri