Individual
SUBIR MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
202 SIEMERS DR APT 206, CAPE GIRARDEAU, MO 63701-8419
(573) 334-6578
Mailing address
CVS TARGET, 202 SIEMERS DR, CAPE GIRARDEAU, MO 63701
(573) 334-6578
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2020024276
MO
Other
Enumeration date
12/07/2020
Last updated
12/07/2020
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