Individual
MRS. SAMANTHA MARIE SCOGN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
17811 E US HIGHWAY 24, INDEPENDENCE, MO 64056-1164
(816) 257-5202
(816) 257-1309
Mailing address
15600 E 3RD STREET CT S, INDEPENDENCE, MO 64050-2299
(816) 679-4634
(816) 257-1309
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
044472
MO
Other
Enumeration date
09/15/2011
Last updated
09/15/2011
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