Individual
SUSAN B NUTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S, PHARMACY
Contact information
Practice address
1300 E BRADFORD PKWY, SPRINGFIELD, MO 65804-4264
(417) 761-5150
(417) 761-5151
Mailing address
1300 E BRADFORD PKWY, SPRINGFIELD, MO 65804-4264
(417) 761-5150
(417) 761-5151
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
041995
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000
—
MO
Enumeration date
11/02/2020
Last updated
11/02/2020
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