Individual
LORA MCQUEEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
2100 N MAIN AVE, MOUNTAIN GROVE, MO 65711-2438
(417) 926-4129
Mailing address
1302 LAURIE ST, MOUNTAIN GROVE, MO 65711-2418
(417) 259-4364
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
042668
MO
Other
Enumeration date
02/20/2020
Last updated
11/27/2023
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