Individual
SUGANTHI DEBRITO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
100 BUCKSKIN GAP, SADDLEBROOKE, MO 65630-3053
(417) 587-4550
Mailing address
100 BUCKSKIN GAP, SADDLEBROOKE, MO 65630-3053
(417) 587-4550
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
044174
MO
Other
Enumeration date
10/22/2011
Last updated
10/22/2011
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