Individual
AMBER NICOLE LORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1851 VERNACI DR, WASHINGTON, MO 63090-6174
(636) 825-7701
Mailing address
1851 VERNACI DR, WASHINGTON, MO 63090-6174
(636) 825-7701
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2024038371
MO
Other
Enumeration date
10/09/2024
Last updated
10/09/2024
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