Individual
KENDELL C MCMILLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
101 S FAIRVIEW RD, COLUMBIA, MO 65203-7637
(573) 884-1100
(573) 884-1103
Mailing address
2305 WALCOX DR, COLUMBIA, MO 65203-9433
(573) 884-1100
(573) 884-1103
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28830
MO
Other
Enumeration date
08/24/2011
Last updated
08/24/2011
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