Individual
JEFFREY CARL FRIEDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
3315 S CAMPBELL AVE, SPRINGFIELD, MO 65807-4914
(417) 887-0855
Mailing address
2373 S FLORENCE AVE, SPRINGFIELD, MO 65807-3017
(417) 631-1133
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
2010038519
MO
Other
Enumeration date
11/06/2020
Last updated
11/06/2020
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