Individual
CHRISTINA GOANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
200 HOSPITAL DR, LEBANON, MO 65536-9215
(417) 533-6770
(417) 533-7777
Mailing address
PO BOX 122, LEBANON, MO 65536-0122
(417) 718-7202
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2016036518
MO
183500000X
Pharmacist
PD14261
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2016036518
MISSOURI BOARD OF PHARMACY LICENSE NUMBER
MO
01
—
PD14261
ARKANSAS BOARD OF PHARMACY
AR
Enumeration date
11/02/2017
Last updated
10/04/2023
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