Individual
MICHAEL GRAZIANO MAZZOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
700 N PROVIDENCE RD, COLUMBIA, MO 65203-4373
(573) 442-0194
Mailing address
700 N PROVIDENCE RD, COLUMBIA, MO 65203-4373
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2011026599
MO
Other
Enumeration date
07/08/2012
Last updated
07/08/2012
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