Individual
JOHN HUDDLESTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 WARREN COUNTY CTR, WARRENTON, MO 63383-3023
(636) 456-4243
Mailing address
1076 BROOK MONT DR, O FALLON, MO 63366-4261
(636) 542-2300
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
042906
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
602368508
—
MO
Enumeration date
11/03/2020
Last updated
11/03/2020
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