Individual
DAVEN NANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2101 N SCHOTTHILL WOODS DR., JEFFERSON CITY, MO 65101
(573) 659-3700
Mailing address
2101 N SCHOTTHILL WOODS DR., JEFFERSON CITY, MO 65101
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2001030145
MO
Other
Enumeration date
07/31/2014
Last updated
07/31/2014
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