Individual
NEIL HENRY WISKUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2715 E BATTLEFIELD ST, SPRINGFIELD, MO 65804-3981
(417) 888-0298
Mailing address
139 NE 1100TH RD, LEETON, MO 64761-7111
(660) 525-0885
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2012021912
MO
Other
Enumeration date
12/01/2020
Last updated
12/01/2020
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