Individual
DARRELL D ANSTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
121 W 4TH ST, APPLETON CITY, MO 64724-1401
(660) 476-2142
(660) 476-5563
Mailing address
121 W 4TH ST, APPLETON CITY, MO 64724-1401
(660) 476-2142
(660) 476-5563
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
043882
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
602280703
—
MO
Enumeration date
01/21/2021
Last updated
01/21/2021
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