Individual
DAVID EDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
606 E MOUNT VERNON BLVD, MOUNT VERNON, MO 65712-9100
(417) 466-2000
(417) 466-2028
Mailing address
606 E MOUNT VERNON BLVD, PO BOX 68, MOUNT VERNON, MO 65712-9100
(417) 466-2000
(417) 466-2028
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
040017
MO
Other
Enumeration date
11/20/2014
Last updated
11/20/2014
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