Individual
ALEXIS MARIE KONDRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
2951 S CAMPBELL AVE, SPRINGFIELD, MO 65807-3632
(417) 890-7924
Mailing address
2951 S CAMPBELL AVE, SPRINGFIELD, MO 65807-3632
(417) 890-7924
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2016026650
MO
Other
Enumeration date
08/19/2020
Last updated
12/04/2020
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