Individual
STANLEY BRENT MARION JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
880 S NEOSHO BLVD, NEOSHO, MO 64850-2052
(417) 451-1535
(417) 451-3983
Mailing address
880 S NEOSHO BLVD, NEOSHO, MO 64850-2052
(417) 451-1535
(417) 451-3983
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
044688
MO
Other
Enumeration date
08/28/2020
Last updated
08/28/2020
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