Individual
MICHAEL G HUMPHREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
8939 COUNTY LANE 213, WEBB CITY, MO 64870-7202
(417) 680-2025
(417) 680-2026
Mailing address
8939 COUNTY LANE 213, WEBB CITY, MO 64870-7202
(417) 680-2025
(417) 680-2026
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
115457
KS
183500000X
Pharmacist
Primary
211032453
MO
Other
Enumeration date
07/30/2015
Last updated
07/30/2015
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