Individual
SCOTT ALAN WALTHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
400 S TRUMAN BLVD, CRYSTAL CITY, MO 63019-1726
(636) 937-3178
Mailing address
400 S TRUMAN BLVD, CRYSTAL CITY, MO 63019-1726
(636) 937-3178
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2014041136
MO
Other
Enumeration date
11/27/2020
Last updated
11/27/2020
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