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:
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Health care specialties

SpecialtyCodeLicense #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 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1164407557 NPPES
Missouri MEDICAID 358397800

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