Individual
MRS. GISOO HASHEMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
250 E 4TH ST, EUREKA, MO 63025-1953
(636) 938-5635
Mailing address
16230 WATERFRONT WAY, WILDWOOD, MO 63040-1514
(636) 273-4629
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2002027556
MO
Other
Enumeration date
11/04/2011
Last updated
11/04/2011
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