Individual
JOSEPH MICAH BATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3100 W BROADWAY, COLUMBIA, MO 65203-0102
(573) 447-2144
Mailing address
3100 W BROADWAY, COLUMBIA, MO 65203-0102
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2020029132
MO
Other
Enumeration date
01/19/2021
Last updated
01/19/2021
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