Individual
HOLLY HARRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 MEMORIAL DR, POTOSI, MO 63664-9318
(573) 436-9193
Mailing address
401 FOREST RUN DR, EUREKA, MO 63025-2183
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2019028670
MO
Other
Enumeration date
10/27/2020
Last updated
10/27/2020
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