Individual
AMANDA L COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 N GRAND AVE, HOUSTON, MO 65483-1222
(417) 260-2384
Mailing address
100 N GRAND AVE, HOUSTON, MO 65483-1222
(417) 260-2384
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2012020929
MO
Other
Enumeration date
08/25/2020
Last updated
08/25/2020
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