Individual
DR. MACKENZIE PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
333 S WESTWOOD BLVD, POPLAR BLUFF, MO 63901-5512
(573) 686-6420
Mailing address
1056 HIGHWAY C, FREDERICKTOWN, MO 63645-6900
(573) 944-4186
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2025034978
MO
Other
Enumeration date
08/15/2025
Last updated
08/15/2025
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