Individual
GEORGE BUFORD GRADDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2625 N KANSAS EXPY, SPRINGFIELD, MO 65803-1114
(417) 869-9003
(417) 869-0277
Mailing address
2625 N KANSAS EXPY, SPRINGFIELD, MO 65803-1114
(417) 869-9003
(417) 869-0277
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
029091
MO
183500000X
Pharmacist
PD05784
AR
Other
Enumeration date
06/13/2010
Last updated
06/13/2010
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