Individual
MR. GEORGE E FAUST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
404 N KEENE ST, COLUMBIA, MO 65201-6626
(573) 875-9385
Mailing address
8701 E HIGHWAY AB, COLUMBIA, MO 65201-7411
(573) 875-9385
(573) 449-2067
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
30003
MO
Other
Enumeration date
05/16/2007
Last updated
07/08/2007
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