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Individual

SCOTT MAHAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARM. D.

Contact information

Practice address
307 N KENTUCKY AVE, WEST PLAINS, MO 65775-2074
(417) 256-7533
(417) 256-7825
Mailing address
307 N KENTUCKY AVE, WEST PLAINS, MO 65775-2074
(417) 256-7533
(417) 256-7825

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
045149
MO
183500000X
Pharmacist
Primary
PD15222
AR

Other

Enumeration date
11/25/2020
Last updated
01/25/2024
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