David Ketchum II, PHARM.D.

Pharmacist · Hayti, MO

Individual Active NPI

NPI number 1265602544

Practice location

946 E Reed St
Hayti, MO 63851-1243
Phone
(573) 359-1372
Fax
(573) 359-3530

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NPI record

NPI
1265602544
Entity type
Individual (Type 1)
Enumeration date
March 3, 2008
Last updated
February 22, 2013
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 045243 MO
Pharmacotherapy Pharmacist 1835P1200X 045243 MO
Pharmacist 183500000X 10463 TN
Pharmacotherapy Pharmacist 1835P1200X 10463 TN

Mailing address

715 Andrea Dr
Dyersburg, TN 38024-7195
Phone
(573) 359-1372
Fax
(573) 359-3530

About Dr. Ketchum

David Ketchum II, PHARM.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 946 E Reed St, Hayti, MO 63851-1243. The NPI number 1265602544 was assigned on March 3, 2008 and the record was last updated on February 22, 2013.

Dr. Ketchum lists 4 licenses in the registry: #045243 (MO) for Pharmacist; #045243 (MO) for Pharmacotherapy Pharmacist; #10463 (TN) for Pharmacist; #10463 (TN) for Pharmacotherapy Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of David Ketchum II, PHARM.D.?

The NPI number is 1265602544.

What is the phone number of Dr. Ketchum?

The phone number listed for the practice location is (573) 359-1372.

Where is Dr. Ketchum located?

946 E Reed St, Hayti, MO 63851-1243.

What is the taxonomy code for Dr. Ketchum?

The primary taxonomy code is 183500000X – Pharmacist; 3 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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