Individual
ALISHA PAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 N WESTWOOD BLVD, POPLAR BLUFF, MO 63901
(573) 686-4151
Mailing address
1500 N WESTWOOD BLVD, POPLAR BLUFF, MO 63901
(573) 686-4151
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2022028387
MO
Other
Enumeration date
07/21/2022
Last updated
03/11/2024
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