Individual
ERIKA JORDAN BUETTMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1393 BIG BEND RD, BALLWIN, MO 63021-7620
(636) 225-4633
Mailing address
1393 BIG BEND RD, BALLWIN, MO 63021-7620
(636) 225-4633
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2015029009
MO
Other
Enumeration date
07/14/2018
Last updated
07/14/2018
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