Individual
GENICE FARRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
29 SW 1ST LN, LAMAR, MO 64759-1772
(417) 682-3584
Mailing address
16335 S 1383 RD, NEVADA, MO 64772-3321
(417) 684-0785
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
1-13993
KS
183500000X
Pharmacist
Primary
2005040699
MO
Other
Enumeration date
11/02/2020
Last updated
11/02/2020
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