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Individual

MR. MICHAEL JAMES MCCARVER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
R.PH.

Contact information

Practice address
1010 W COLUMBIA ST, FARMINGTON, MO 63640-2902
(573) 218-6754
(573) 218-6762
Mailing address
1010 W COLUMBIA ST, FARMINGTON, MO 63640-2902
(573) 218-6754
(573) 218-6762

Taxonomy

Speciality
Code
Description
License number
State
1835P1300X
Psychiatric Pharmacist
Primary
040731
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
040731
PHARMACIST LICENSE #
MO
Enumeration date
11/17/2005
Last updated
08/01/2008
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