Individual
DR. ALLISON MARIE WADLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3635 VISTA AVE, SAINT LOUIS, MO 63110-2500
(573) 330-9061
Mailing address
1131 RIDGE TOP DR, FARMINGTON, MO 63640-7614
(573) 330-9061
Taxonomy
Speciality
Code
Description
License number
State
1835P1300X
Psychiatric Pharmacist
Primary
2022023832
MO
Other
Enumeration date
08/23/2024
Last updated
08/23/2024
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