Individual
ALLISON NICOLE DECKARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1500 N WESTWOOD BLVD, POPLAR BLUFF, MO 63901-3318
(573) 686-4151
Mailing address
1108 E LOCUST ST, DONIPHAN, MO 63935-8100
(573) 208-5495
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2022028121
MO
Other
Enumeration date
05/01/2023
Last updated
05/01/2023
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