Individual
SHAYLA M FARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 N FRANKLIN ST, CUBA, MO 65453-1705
(573) 885-7212
Mailing address
200 N FRANKLIN ST, CUBA, MO 65453-1705
(573) 885-7212
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2019039620
MO
Other
Enumeration date
07/21/2020
Last updated
07/21/2020
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