Individual
ANNETTE ISRAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15253 MANCHESTER RD, BALLWIN, MO 63011-4604
(636) 227-5828
(636) 230-7876
Mailing address
15253 MANCHESTER RD, BALLWIN, MO 63011-4604
(636) 227-5828
(636) 230-7876
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2002027586
MO
Other
Enumeration date
09/27/2011
Last updated
09/27/2011
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