Individual
SUSAN MOUNT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
806 N STURGEON ST, MONTGOMERY CITY, MO 63361-1426
(573) 564-2273
Mailing address
1029 HIGHWAY KK, TROY, MO 63379-5065
(636) 528-4510
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
40744
MO
Other
Enumeration date
01/08/2016
Last updated
01/08/2016
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