Individual
SARA WILLENBRINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1349 E REPUBLIC AVE, SPRINGFIELD, MO 65804
(417) 887-9451
Mailing address
340 MALLARD POINTE BLVD, OLD MONROE, MO 63369
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2012027983
MO
Other
Enumeration date
08/29/2012
Last updated
08/29/2012
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