Ketchum, David
Ketchum, David is an sole proprietor health care provider with primary practice located at 946 E Reed St , Hayti MO 63851-1243. He recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Pharmacy Service Providers / Pharmacotherapy. Pharmacy Service Providers / Pharmacist is his primary health care specialty. Ketchum, David can be contacted via phone (573) 359-1372.Contact Information
Primary practice address
946 E Reed St
Hayti MO 63851-1243
Phone: (573) 359-1372
Fax: (573) 359-3530
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Pharmacy Service Providers / Pharmacist | 183500000X | 045243 | Missouri |
Pharmacy Service Providers / Pharmacotherapy | 1835P1200X | 045243 | Missouri |
Pharmacy Service Providers / Pharmacist | 183500000X | 10463 | Tennessee |
Pharmacy Service Providers / Pharmacotherapy | 1835P1200X | 10463 | Tennessee |
Profile Details
NPI number | 1265602544 |
---|---|
LBN Legal business name | Ketchum, David |
Credentials | PHARM.D. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 3rd, 2008 |
Last updated | Feb 22nd, 2013 - about 11 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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