Individual
DR. HENRY IRVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D
Contact information
Practice address
610 S 6TH ST, BRANSON, MO 65616-2843
(417) 336-9355
(417) 334-4427
Mailing address
250 TEEPEE LANE, KIMBERLING CITY, MO 65686
(417) 272-1112
(417) 272-1118
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2006038096
MO
Other
Enumeration date
09/12/2011
Last updated
08/23/2022
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