Individual
IZET POROBIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 MEMORIAL DR, POTOSI, MO 63664-9318
(573) 438-5441
Mailing address
1 MEMORIAL DR, POTOSI, MO 63664-9318
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2022033816
MO
Other
Enumeration date
10/02/2023
Last updated
10/02/2023
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