Individual
MRS. DIANE M MCCLASKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH, BCPS
Contact information
Practice address
1500 N OAKLAND AVE, BOLIVAR, MO 65613-3099
(417) 328-7562
(417) 328-1175
Mailing address
1500 N OAKLAND AVE, BOLIVAR, MO 65613-3099
(417) 328-7562
(417) 328-1175
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
043075
MO
1835P1200X
Pharmacotherapy Pharmacist
17363
IA
Other
Enumeration date
04/05/2022
Last updated
04/05/2022
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