Individual
BETH MARIE HORNBUCKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1605 S MAIN ST, MARYVILLE, MO 64468-2611
(660) 562-3593
(660) 562-3282
Mailing address
1605 S MAIN ST, MARYVILLE, MO 64468-2611
(660) 562-3593
(660) 562-3282
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2006025345
MO
Other
Enumeration date
10/27/2020
Last updated
10/27/2020
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