Individual
MRS. LISA SQUIRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
3101 S GLENSTONE AVE, SPRINGFIELD, MO 65804-4403
(417) 883-7598
(847) 396-3221
Mailing address
3101 S GLENSTONE AVE, SPRINGFIELD, MO 65804-4403
(417) 883-7598
(847) 396-3221
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
043388
MO
Other
Enumeration date
04/09/2016
Last updated
04/09/2016
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