Individual
BETHANY BILLUPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1301 E HIGHWAY 24, MOBERLY, MO 65270-3655
(660) 263-0494
Mailing address
33628 BRUMMAL RD, SALISBURY, MO 65281-2598
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2019025917
MO
Other
Enumeration date
10/27/2020
Last updated
10/27/2020
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