Individual
MISS SAMANTHA JO RIDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D
Contact information
Practice address
1375 E 10TH ST SUITE B, ROLLA, MO 65401
(573) 364-9616
Mailing address
PO BOX 528, CUBA, MO 65453
(573) 885-0885
(573) 885-0882
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2018026729
MO
Other
Enumeration date
10/18/2018
Last updated
07/10/2024
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