Individual
MARY KAYE HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
508 E 5TH ST, DIXON, MO 65459-6201
(573) 759-3073
(573) 759-3560
Mailing address
PO BOX 509, DIXON, MO 65459-0509
(573) 759-3073
(573) 759-3560
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
042271
MO
Other
Enumeration date
05/11/2023
Last updated
05/11/2023
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