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Individual

JAMES ODELL GAW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
2805 W TRUMAN BLVD, JEFFERSON CITY, MO 65109-0545
(573) 893-2226
(573) 893-5176
Mailing address
2805 W TRUMAN BLVD, JEFFERSON CITY, MO 65109-0545
(573) 893-2226
(573) 893-5176

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
040989
MO

Other

Enumeration date
09/11/2014
Last updated
09/11/2014
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