Individual
LEVI KEITH HARE-TOWNSEND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1050 US HIGHWAY 60 E, REPUBLIC, MO 65738-1569
(417) 732-8246
Mailing address
1050 US HIGHWAY 60 E, REPUBLIC, MO 65738-1569
(417) 732-8246
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2018025575
MO
Other
Enumeration date
08/31/2020
Last updated
08/31/2020
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