Individual
GEORGE TRUONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
588 S JEFFERSON AVE, LEBANON, MO 65536-3243
(417) 532-9403
Mailing address
588 S JEFFERSON AVE, LEBANON, MO 65536-3243
(417) 532-9403
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2011021461
MO
Other
Enumeration date
09/19/2011
Last updated
09/19/2011
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