Individual
BALEIGH HEITS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
607 STATE ST, MOUND CITY, MO 64470-1146
(660) 442-3355
(660) 442-3129
Mailing address
607 STATE ST, MOUND CITY, MO 64470-1146
(660) 442-3355
(660) 442-3129
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2019035645
MO
Other
Enumeration date
09/05/2023
Last updated
09/05/2023
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