Kathy Wall is a Pharmacist based in Mexico, MO. Kathy Wall practices in Mexico, MO. The NPI Number for Kathy Wall is 1306364708 and holds a License No. 040528 (Missouri).
The current practice location address for Kathy Wall is 340 Kelley Pkwy Ste D, Mexico, MO and can be reached out via phone at 573-567-7077.
Location: 340 Kelley Pkwy Ste D, Mexico, MO, 65265-3811
Provider Profile Details
NPI Number
1306364708
Provider Name
Kathy Wall
Credential
Provider Entity Type
Individual
Gender
Female
Address
340 Kelley Pkwy Ste D, Mexico, MO, 65265-3811
Phone Number
573-567-7077
Fax Number
Provider Enumeration Date
09/06/2017
Last Update Date
03/09/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 040528 | 01 | MO | PHARMACIST LICENSE |
Provider Business Practice Location Address Details
Address
340 Kelley Pkwy Ste D
City
State
Zip
65265-3811
Phone Number
573-567-7077
Fax Number
Provider Business Mailing Address Details
Address
340 Kelley Pkwy Ste D
City
State
Zip
65265-3811
Phone Number
573-567-7077
Fax Number
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
License No.
040528 (Missouri)
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
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