NPI 1083838452
Key Compounding Pharmacy
Practice location
- Address
- 912 North Westwood Blvd, Poplar Bluff, MO 63901
- Phone
- (573) 785-8219
- Fax
- (573) 785-8125
Authorised official
- Name
- Martin H Michel
- Title
- Owner
- Phone
- (573) 785-8219
Registered specialties
Compounding Pharmacy
Primary
Registry record
- NPI
- 1083838452
- Entity type
- Organization
- NPI issued
- 13 Apr 2007
- Record last updated
- 22 Aug 2020
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.