Individual
LORA C BLOSS-GIRSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2600 MILLER ST, BETHANY, MO 64424-2701
(660) 425-2211
Mailing address
316 E LINCOLN WAY, NEW HAMPTON, MO 64471
(660) 425-2465
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
2007004550
MO
Other
Enumeration date
05/11/2007
Last updated
07/08/2007
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