Individual
DR. DANIELLE REDECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
1101 WEBER RD, SUITE 100, FARMINGTON, MO 63640-3326
(573) 756-6117
(573) 756-5541
Mailing address
1107 W LIBERTY ST, FARMINGTON, MO 63640-1921
(573) 756-2799
(573) 756-5563
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2007022175
MO
Other
Enumeration date
05/28/2008
Last updated
04/01/2016
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