Individual
MICHELLE LEE MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
101 E KARSCH BLVD, FARMINGTON, MO 63640-1235
(573) 701-0639
(573) 701-0683
Mailing address
101 EAST KARSCH BLVD, FARMINGTON, MO 63640
(573) 701-0639
(573) 701-0683
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
044435
MO
Other
Enumeration date
07/19/2018
Last updated
08/31/2023
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