Individual
DR. AUTUMN MARIE JAEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1375 E 10TH ST STE B, ROLLA, MO 65401-3591
(573) 364-9616
(573) 341-3986
Mailing address
1375 E 10TH ST STE B, ROLLA, MO 65401-3591
(573) 364-9616
(573) 341-3986
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2018031239
MO
Other
Enumeration date
07/21/2020
Last updated
07/21/2020
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