Individual
ALEX MORGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 MEMORIAL DR, POTOSI, MO 63664-9318
(573) 436-9193
Mailing address
10014 NUGGET RD, MINERAL POINT, MO 63660-9652
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2016026611
MO
Other
Enumeration date
12/03/2020
Last updated
12/03/2020
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