Individual
KENDRICK DEAN GREATHOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9074 OVERLAND PLZ, OVERLAND, MO 63114-6122
(314) 426-4211
(314) 426-4806
Mailing address
9074 OVERLAND PLZ, OVERLAND, MO 63114-6122
(314) 426-4211
(314) 426-4806
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2015024606
MO
Other
Enumeration date
07/12/2018
Last updated
07/12/2018
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