Individual
DR. CHRISTOPHER RAYMOND KONDRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM. D.
Contact information
Practice address
1102 N MASSEY BLVD, NIXA, MO 65714-7607
(417) 724-0798
Mailing address
607 N GALILEO DR, NIXA, MO 65714-7893
(314) 952-6160
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2016026652
MO
Other
Enumeration date
11/04/2020
Last updated
11/04/2020
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