Individual
ANDREA SCHULTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8660 VETERANS MEMORIAL PKWY, O FALLON, MO 63366-7537
(636) 978-3568
Mailing address
2385 FEDERALIST PL, O FALLON, MO 63368-8567
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2017025911
MO
Other
Enumeration date
12/28/2019
Last updated
12/28/2019
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