Individual
JAN R PENNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
588 S JEFFERSON AVE, LEBANON, MO 65536-3243
(417) 532-9403
Mailing address
41 ROYAL CT, CAMDENTON, MO 65020-4551
(314) 971-0087
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2012025406
MO
Other
Enumeration date
08/09/2012
Last updated
08/08/2023
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