Individual
JERRY W CALLAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
106 BROADWAY ST STE A, ELSBERRY, MO 63343-1345
(573) 898-2550
(573) 898-5730
Mailing address
106 BROADWAY ST STE A, ELSBERRY, MO 63343-1345
(573) 898-2550
(573) 898-5730
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
29059
MO
Other
Enumeration date
10/14/2010
Last updated
10/14/2010
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