Individual
BRIDGET LEE COLOMBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
141 N DEAN AVE, RAYMORE, MO 64083-8398
(816) 425-9373
Mailing address
18900 S PROSPECT AVE, BELTON, MO 64012-9633
(785) 220-1439
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2012024150
MO
Other
Enumeration date
10/27/2020
Last updated
10/27/2020
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