Individual
LAUREN ODUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1015 BOWLES AVE, FENTON, MO 63026-2394
(636) 496-5006
Mailing address
1015 BOWLES AVE, FENTON, MO 63026-2394
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2007010448
MO
Other
Enumeration date
06/12/2008
Last updated
09/15/2015
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