Individual
CARISSA VIRTUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
604A E SOUTH ST, OZARK, MO 65721-8912
(417) 581-7777
Mailing address
1206 W ROBIN ST, OZARK, MO 65721-8091
(417) 619-3640
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2012021905
MO
Other
Enumeration date
03/11/2014
Last updated
03/11/2014
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