Individual
JULIE MARVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1903 E 9TH ST, TRENTON, MO 64683-2645
(660) 359-5700
(660) 359-5701
Mailing address
1903 E 9TH ST, TRENTON, MO 64683-2645
(660) 707-3539
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
1-15673
KS
183500000X
Pharmacist
Primary
2002028995
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2002014007
MISSOURI BOARD OF PHARMACY
MO
Enumeration date
04/30/2018
Last updated
05/16/2025
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