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Organization
GLWACH
Active
Organization
GLWACH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. UDE U UDE PHARMD (PHARMACIST)
31456005329
Entity
Organization
Contact information
Practice address
4430 MISSOURI AVE, GLWACH, FORT LEONARD WOOD, MO 65473-9098
(573) 596-0515
Mailing address
118A EDNA, WAYNESVILLE, MO 65583-7875
(314) 600-5329
Taxonomy
Speciality
Code
Description
License number
State
286500000X
Military Hospital
Primary
2013031924
MO
Other
Enumeration date
05/10/2017
Last updated
05/10/2017
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