Individual
COLBY GROVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
5492 HIGHWAY H UNIT E, PLEASANT HOPE, MO 65725-8227
(417) 840-6912
Mailing address
5492 HIGHWAY H UNIT E, PLEASANT HOPE, MO 65725-8227
(417) 840-6912
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2012029728
MO
Other
Enumeration date
07/12/2022
Last updated
07/12/2022
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