Petty, Douglas Gene

Petty, Douglas Gene is an individual health care provider with primary practice located at 500 N Baltimore St , Kirksville MO 63501-3214. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Petty, Douglas Gene can be contacted via phone (660) 665-7400.

Contact Information

Primary practice address
500 N Baltimore St Kirksville MO 63501-3214
Phone: (660) 665-7400
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 043669 Missouri

Profile Details

NPI number 1083672810
LBN Legal business name Petty, Douglas Gene
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2006
Last updated Jul 8th, 2007 - about 19 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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