Individual
STEPANIE ANN PADDOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3315 S CAMPBELL AVE, SPRINGFIELD, MO 65807-4914
(417) 881-6750
Mailing address
1437 W RIVERSIDE ST, SPRINGFIELD, MO 65807-4668
(417) 241-4170
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2018029989
MO
Other
Enumeration date
10/27/2020
Last updated
10/27/2020
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