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Individual

DR. TERESA PURSEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
16640 S COUNTRY CLUB CT, VILLAGE OF LOCH LLOYD, MO 64012-3376
(816) 331-4834
Mailing address
16640 S COUNTRY CLUB CT, VILLAGE OF LOCH LLOYD, MO 64012-3376

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
16262
IA
183500000X
Pharmacist
2005040263
MO
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
1-12704
KS

Other

Enumeration date
12/27/2011
Last updated
12/27/2011
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