Individual
DIANNA BARDOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
113 SAINT FRANCOIS PLZ, LEADINGTON, MO 63601-4454
(573) 431-8575
Mailing address
113 SAINT FRANCOIS PLZ, LEADINGTON, MO 63601-4454
(573) 431-8575
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
043639
MO
Other
Enumeration date
12/09/2020
Last updated
12/09/2020
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