Jennings, Cleora Katherine

Jennings, Cleora Katherine is an individual health care provider with primary practice located at 54 Hospital Dr , Osage Beach MO 65065-3050. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Jennings, Cleora Katherine can be contacted via phone (417) 532-4431.

Contact Information

Primary practice address
54 Hospital Dr Osage Beach MO 65065-3050
Phone: (417) 532-4431
Fax: (417) 532-4431
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 2011027373 Missouri

Profile Details

NPI number 1063794907
LBN Legal business name Jennings, Cleora Katherine
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2011
Last updated Jun 19th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063794907 NPPES
Missouri Other 2011027373 PHARMACIST LICENSE

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