Individual
HARISH ANUMULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3520 W SUNSHINE ST, SPRINGFIELD, MO 65807-0906
(417) 864-8006
Mailing address
3520 W SUNSHINE ST, SPRINGFIELD, MO 65807-0906
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2011010245
MO
Other
Enumeration date
09/28/2022
Last updated
09/28/2022
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