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Individual

MICHAEL H MINOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2717 KETTERING DR, SAINT CHARLES, MO 63303-5487
(314) 609-9629
(636) 922-0710
Mailing address
2717 KETTERING DR, SAINT CHARLES, MO 63303-5487
(314) 609-9629
(636) 922-0710

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
040575
MO
183500000X
Pharmacist
051.035181
IL

Other

Enumeration date
01/25/2016
Last updated
01/25/2016
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