Individual
KYLE STRANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
733 GRAND AVE, HANNIBAL, MO 63401-3183
(573) 221-2792
Mailing address
57001 STATE HIGHWAY T, EDINA, MO 63537-4147
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2024032934
MO
Other
Enumeration date
08/15/2024
Last updated
08/15/2024
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