Individual
MISS ANILA G ABRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 N OAKLAND AVE, BOLIVAR, MO 65613-3011
(417) 326-6000
Mailing address
1500 N OAKLAND AVE, BOLIVAR, MO 65613-3011
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2008027647
MO
Other
Enumeration date
10/23/2023
Last updated
10/23/2023
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