Individual
REBECCA LEE WALTERS-PEACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
201 STATE HIGHWAY 19, ALTON, MO 65606-6380
(417) 778-7000
Mailing address
450 COUNTY ROAD 139, ALTON, MO 65606-8221
(417) 778-7000
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
043956
MO
Other
Enumeration date
11/27/2023
Last updated
11/27/2023
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