Individual
LINDSEY BALLARD CORLEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
808 HUNTER AVE, SUITE 1, SIKESTON, MO 63801-2248
(573) 472-0608
(573) 472-1814
Mailing address
808 HUNTER AVE, SUITE 1, SIKESTON, MO 63801-2248
(573) 472-0608
(573) 472-1814
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2007023337
MO
1835P1200X
Pharmacotherapy Pharmacist
2007023337
MO
Other
Enumeration date
07/10/2014
Last updated
07/10/2014
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