Individual
RAHELA LUP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5492 HIGHWAY H UNIT E, PLEASANT HOPE, MO 65725-8227
(417) 267-6337
Mailing address
1519 N EDGEMONT CIR, SPRINGFIELD, MO 65802-7858
(417) 209-4664
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2021038997
MO
Other
Enumeration date
07/09/2022
Last updated
07/09/2022
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