Meents, Randy Kyle
Meents, Randy Kyle is an sole proprietor health care provider with primary practice located at 105 N. Grand St., Suite 1 , Greenfield MO 65661-0158. He recently has 3 registered licenses in different health care specialties including Pharmacy Service Providers / Geriatric, Pharmacy Service Providers / Pharmacist, Pharmacy Service Providers / Pharmacotherapy. Pharmacy Service Providers / Geriatric is his primary health care specialty. Meents, Randy Kyle can be contacted via phone (417) 637-2909.Contact Information
Primary practice address
105 N. Grand St., Suite 1
Greenfield MO 65661-0158
Phone: (417) 637-2909
Fax: (417) 637-5621
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Pharmacy Service Providers / Geriatric | 1835G0303X | 040294 | Missouri |
Pharmacy Service Providers / Pharmacist | 183500000X | 040294 | Missouri |
Pharmacy Service Providers / Pharmacotherapy | 1835P1200X | 040294 | Missouri |
Profile Details
NPI number | 1164407557 |
---|---|
LBN Legal business name | Meents, Randy Kyle |
Credentials | PHARM.D. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 8th, 2005 |
Last updated | Dec 17th, 2018 - about 6 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1164407557 | NPPES |
Missouri | MEDICAID | 358397800 |
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