Individual
NATHAN LYNN FRIEND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1349 E REPUBLIC RD, SPRINGFIELD, MO 65804
(417) 887-9451
(417) 877-0674
Mailing address
1349 E REPUBLIC RD, SPRINGFIELD, MO 65804
(417) 887-9451
(417) 877-0674
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2015022949
MO
Other
Enumeration date
08/31/2020
Last updated
08/31/2020
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