Individual
JENNIFER ANN DALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1965 S FREMONT AVE, SUITE 140, SPRINGFIELD, MO 65804-2201
(417) 820-3577
(417) 820-3578
Mailing address
1965 S FREMONT AVE, SUITE 140, SPRINGFIELD, MO 65804-2201
(417) 820-3577
(417) 820-3578
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
043356
MO
Other
Enumeration date
06/07/2012
Last updated
06/07/2012
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