Individual
MARY BETH GRABLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3505 FREDERICK AVE, SAINT JOSEPH, MO 64506-2914
(816) 387-2572
Mailing address
3505 FREDERICK AVE, SAINT JOSEPH, MO 64506-2914
(816) 387-2572
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
1999139653
MO
Other
Enumeration date
05/02/2007
Last updated
07/08/2007
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