Individual
PHILLIP G WILLMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
600 W KARSCH BLVD, FARMINGTON, MO 63640-3342
(573) 747-1591
Mailing address
220 WOODVINE CT, FARMINGTON, MO 63640-7686
(573) 431-5702
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
041146
MO
Other
Enumeration date
07/25/2006
Last updated
04/16/2008
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