Individual
MAUREEN GAYE VANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1100 N. KENTUCKY, WEST PLAINS, MO 65775
(417) 256-9111
(417) 257-6727
Mailing address
1905 KODY DRIVE, WEST PLAINS, MO 65775
(417) 256-9111
(417) 257-6727
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
043393
MO
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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