Individual
MR. EARL PETER GASSENBERGER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1955 S NATIONAL AVE, SPRINGFIELD, MO 65804-2214
(417) 881-6836
(417) 877-1746
Mailing address
1955 S NATIONAL AVE, SPRINGFIELD, MO 65804-2214
(417) 881-6836
(417) 877-1746
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
041695
MO
Other
Enumeration date
09/22/2011
Last updated
09/22/2011
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