Individual
MARY MALAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1700 S INGRAM AVE, SEDALIA, MO 65301-7536
(660) 826-2626
Mailing address
983 SE 450TH RD, CLINTON, MO 64735-9571
(660) 525-0336
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
041502
MO
Other
Enumeration date
02/12/2021
Last updated
02/12/2021
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