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Individual

SUZANNE ORR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
519 S TRUMAN BLVD, FESTUS, MO 63028-2232
(636) 937-3641
Mailing address
2695 BREAKWATER DR, IMPERIAL, MO 63052-4321

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
044775
MO

Other

Enumeration date
10/11/2011
Last updated
10/11/2011
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