Individual
MS. KRISTIE L MEACHEAM WALLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
2004 W MARLER LN, OZARK, MO 65721-7661
(417) 581-3288
Mailing address
1039 E MARYLAND CT, SPRINGFIELD, MO 65810-2982
(417) 890-7093
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
044157
MO
Other
Enumeration date
09/26/2011
Last updated
12/22/2016
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