Individual
SHAWN BORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2900 PARIS RD, COLUMBIA, MO 65202-2651
(573) 474-9418
Mailing address
2900 PARIS RD, COLUMBIA, MO 65202-2651
(573) 474-9418
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2002027612
MO
Other
Enumeration date
01/16/2022
Last updated
01/16/2022
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