Individual
KATELYN HOMFELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1180 W 19TH ST, HIGGINSVILLE, MO 64037-1557
(660) 584-7787
Mailing address
10361 MINERS TRAIL RD, HIGGINSVILLE, MO 64037-9107
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2017024194
MO
Other
Enumeration date
10/26/2020
Last updated
10/26/2020
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