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Individual

ANDREW JAMES BAHL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
321 E BROADWAY ST, MONETT, MO 65708-2329
(417) 235-3139
Mailing address
1873 WEST FAWN CT, MONETT, MO 65708-1014
(417) 236-0155

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
045001
MO
183500000X
Pharmacist
12612
KS

Other

Enumeration date
12/27/2005
Last updated
04/18/2014
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