Individual
BAILEY DANETT MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1711 CHEROKEE AVE, SENECA, MO 64865-8681
(417) 776-8701
Mailing address
507 S ARCH ST, CARTERVILLE, MO 64835-1703
(417) 439-4756
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2021027050
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2021027050
MISSOURI BOARD OF PHARMACY
MO
Enumeration date
07/01/2022
Last updated
07/01/2022
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