Individual
DR. DEONNA RENEE MADISON-WOOTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D
Contact information
Practice address
9285 HALLS FERRY RD, JENNINGS, MO 63136-5144
(314) 867-1360
(314) 867-8027
Mailing address
922 BENJAMIN DR, O FALLON, IL 62269-6857
(314) 867-1360
(314) 867-7802
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051293523
IL
183500000X
Pharmacist
2009025150
MO
Other
Enumeration date
09/19/2011
Last updated
09/19/2011
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