Individual
MRS. JANE ELIZABETH MACLELLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
700 N PROVIDENCE RD, COLUMBIA, MO 65203-4373
(573) 442-0194
(573) 443-8253
Mailing address
651 W COVERED BRIDGE RD, COLUMBIA, MO 65203-9562
(573) 239-0078
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2004031566
MO
Other
Enumeration date
06/10/2021
Last updated
06/10/2021
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