Tanya Marie Duncan, RPH

Individual provider Active NPI Pharmacist · Monett, MO

NPI 1548864804 · NPPES record last updated Nov 27, 2020

Key facts

NPI
1548864804
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
044720 (MO)
Practice address
885 E US Highway 60
Monett, MO 65708-9367
Phone
(417) 235-5980
NPI assigned
Nov 27, 2020
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
044720MOMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist
Group: 193400000X SINGLE SPECIALTY GROUP
183500000X 044720 MO Yes

Addresses

Primary practice location

885 E US Highway 60
Monett, MO 65708-9367

Mailing address

13940 Lawrence 2143
Mount Vernon, MO 65712-8471
Phone (417) 737-3652

Other providers in Monett, MO

All providers in Monett, MO · Pharmacist in Missouri

Sources for this page

Verify at the official NPI Registry.