Individual
LANCE MAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1605 W 7TH ST, JOPLIN, MO 64801-3071
(417) 659-8453
Mailing address
662 OLYMPIA RD, GOODMAN, MO 64843-8223
(815) 289-9261
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2011032863
MO
Other
Enumeration date
10/17/2011
Last updated
10/17/2011
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