Individual
MARK FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1718 CATLIN DR, BARNHART, MO 63012-1277
(636) 461-1347
(636) 461-1718
Mailing address
1718 CATLIN DR, BARNHART, MO 63012-1277
(636) 461-1347
(636) 461-1718
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
044470
MO
Other
Enumeration date
09/30/2011
Last updated
09/30/2011
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