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Individual

MAX DOUGLAS WOERFEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
4643 LINDELL BLVD APT 416, SAINT LOUIS, MO 63108-3728
(586) 216-4613
Mailing address
4643 LINDELL BLVD APT 416, SAINT LOUIS, MO 63108-3728
(586) 216-4613

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2019035650
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2019035650
PHARMACIST LICENSE
MO
Enumeration date
11/16/2020
Last updated
11/16/2020
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