Individual
MR. KRISTON LYNN BOTTRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
1100 N KENTUCKY AVE, WEST PLAINS, MO 65775-2029
(417) 257-5837
Mailing address
1805 GIBSON ST, WEST PLAINS, MO 65775-1970
(417) 255-8253
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
044629
MO
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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