Individual
CONG DANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2726 E WOODFORD ST, SPRINGFIELD, MO 65804-7557
(417) 863-0002
Mailing address
1536 W SUNSHINE ST, SPRINGFIELD, MO 65807-2349
(417) 766-6990
(417) 863-0012
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
044112
MO
Other
Enumeration date
03/07/2012
Last updated
03/07/2012
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