Individual
SIERRA DAWN RICHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD, BCPPS
Contact information
Practice address
121 ANTELOPE DR, COLUMBIA, MO 65202-3760
(573) 714-2399
Mailing address
121 ANTELOPE DR, COLUMBIA, MO 65202-3760
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2019025996
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2019025996
MISSOURI BOARD OF PHARMACY
MO
01
—
8151679
BOARD OF PHARMACY SPECIALTIES
—
Enumeration date
02/06/2024
Last updated
05/06/2025
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