Individual provider · Type 1 NPI

Douglas Gene Petty, RPH

Pharmacist · Kirksville, MO

NPI number 1083672810 Active

Practice location

500 N Baltimore St
Kirksville, MO 63501-3214

Call (660) 665-7400 Map

Mailing address

1410 E Meadow Ln
Kirksville, MO 63501-2654

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X043669 (MO)

Pharmacist: 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…

5 other providers at this address

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About NPI 1083672810

Douglas Gene Petty, RPH's National Provider Identifier is 1083672810, issued on May 2, 2006. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Kirksville, MO. The record was last updated on Jul 13, 2026.