Individual
MICHAEL RUPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
1720 W BATTLEFIELD ST, SPRINGFIELD, MO 65807-5359
(417) 881-1217
(417) 881-8289
Mailing address
1720 W BATTLEFIELD ST, SPRINGFIELD, MO 65807-5359
(417) 881-1217
(417) 881-8289
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
043380
MO
Other
Enumeration date
07/16/2014
Last updated
01/18/2015
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