Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Clark Kebodeaux, PHARMD

Individual provider Pharmacist · NPI 1669785697

Dr. Clark Kebodeaux, PHARMD is a Pharmacist in Saint Louis, Missouri. Licensed in Kentucky and Missouri. Registered with an NPI since 2010.

Licensed in
KY, MO
In the registry since
2010
Specialties on file
2
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.

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Practice location Address checks out

4218 Lindell Blvd
Saint Louis, MO 63108-2916
Phone: (314) 534-3829
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 2011021859 (MO)
Pharmacist Taxonomy 183500000X · Licence 015036 (KY)

Record details

NPI number1669785697
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMD
Sole proprietorNo
NPI enumeratedJuly 19, 2010
Last updated in NPPESAugust 10, 2011

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