Individual
ALYSSA LARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8491 MAIN ST, ALTENBURG, MO 63732-6169
(573) 824-8888
Mailing address
1486 COUNTY HIGHWAY 213, SCOTT CITY, MO 63780-9161
(573) 837-9373
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20260367375
MO
Other
Enumeration date
08/04/2026
Last updated
08/04/2026
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