Individual
BRANDI WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1375 E 10TH ST STE B, ROLLA, MO 65401-3591
(573) 364-9616
Mailing address
1375B E 10TH ST STE B, ROLLA, MO 65401-3581
(573) 364-9616
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2011031740
MO
Other
Enumeration date
08/10/2020
Last updated
08/10/2020
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