Individual
TRAVAION HOWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12098 LUSHER RD, SAINT LOUIS, MO 63138-1302
(314) 355-0500
Mailing address
12098 LUSHER RD, SAINT LOUIS, MO 63138-1302
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
2023048858
MO
Other
Enumeration date
01/19/2024
Last updated
01/19/2024
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