Individual
KATELIN ELIZABETH SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2150 MAIN ST, BOONVILLE, MO 65233-1941
(660) 882-6552
Mailing address
2150 MAIN ST, BOONVILLE, MO 65233-1941
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2021028231
MO
Other
Enumeration date
02/12/2022
Last updated
02/12/2022
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