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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. CLARK KEBODEAUX, PHARM.D.

Active

DR. CLARK KEBODEAUX, PHARM.D. is a Pharmacist healthcare provider located in SAINT LOUIS, Missouri. NPI 1669785697 is currently active in the NPPES registry. Verify at CMS.

Pharmacist · SAINT LOUIS, MO

Registration Details

NPI Number
1669785697
Provider Type
Individual
Gender
Male
NPI Issued
Jul 19, 2010 (16.060612898395 yrs)
Last Updated
Aug 10, 2011
Licenses
015036 (KY)
2011021859 (MO)

Practice Information

Address
4218 LINDELL BLVD
SAINT LOUIS, MO, 631082916
Browse MO providers · Browse ZIP 63108
Phone
3145343829
Primary Specialty
Pharmacist
183500000X
Additional Specialty
Pharmacist

Other Pharmacist Providers in SAINT LOUIS, MO

Name Credential NPI
DR. AMY CAROLE DEWEIN R.PH., PHARM.D, MHS 1710983168
HEDVA LEVY 1326047523
MR. JEFFREY S WILSON RPH 1437150992
DR. ZACHARY AARON STACY PHARM.D., BCPS 1376545285
MR. THOMAS L. MEYER MA, RPH 1225030745
DR. PATRICK MICHAEL FINNEGAN PHARM.D. 1336141894
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.