Individual
NANCY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
607 STATE ST, MOUND CITY, MO 64470-1146
(660) 442-3355
Mailing address
607 STATE ST, MOUND CITY, MO 64470-1146
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
041245
MO
Other
Enumeration date
09/08/2016
Last updated
09/08/2016
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