Individual
MIRANDA D. HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1701 A ROY DR, WASHINGTON, MO 63090-5007
(636) 239-3710
Mailing address
1701 A ROY DR, WASHINGTON, MO 63090-5007
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2002027548
MO
Other
Enumeration date
11/04/2020
Last updated
11/04/2020
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