Individual
DR. SUZANNE ELIZABETH WOMMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D
Contact information
Practice address
2305 GEORGIA ST, LOUISIANA, MO 63353-2559
(573) 754-5531
(573) 754-4454
Mailing address
455 HIGHWAY 61 N, HANNIBAL, MO 63401-2885
(573) 221-6557
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2013022804
MO
Other
Enumeration date
08/26/2020
Last updated
03/21/2023
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