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Individual

ED POWERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
513 MEARNS DR, MACON, MO 63552-3723
(660) 385-2846
Mailing address
513 MEARNS DR, MACON, MO 63552-3723
(660) 385-2846

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28188
MO

Other

Enumeration date
05/02/2006
Last updated
07/08/2007
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