Individual
MARY FARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1875 N WESTWOOD BLVD, POPLAR BLUFF, MO 63901-2833
(573) 785-1461
(573) 785-0831
Mailing address
1875 N WESTWOOD BLVD, POPLAR BLUFF, MO 63901-2833
(573) 785-1461
(573) 785-0831
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
029078
MO
Other
Enumeration date
11/13/2006
Last updated
07/08/2007
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