Individual
MR. SAMUEL TIMOTHY GUTHRIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS PHARMACY
Contact information
Practice address
101 N WESTERN ST, MEXICO, MO 65265-1905
(573) 581-3353
Mailing address
321 N WESTERN ST, MEXICO, MO 65265-1909
(573) 581-4552
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
043873
MO
Other
Enumeration date
08/25/2011
Last updated
08/25/2011
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