NPI 1003234931
Teaco, INC
Practice location
- Address
- 123 1st St, Kennett, MO 63857-2051
- Phone
- (573) 888-9094
- Mailing address
- 501 Teaco Rd, Kennett, MO 63857-3721
Authorised official
- Name
- Jerid Maddox
- Title
- Owner
- Phone
- (573) 888-6673
Registered specialties
Pharmacy
Primary
Registry record
- NPI
- 1003234931
- Entity type
- Organization
- NPI issued
- 28 Mar 2014
- Record last updated
- 28 Mar 2014
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.