Individual
HOLLIE LOVELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
100 OZARK DR, CUBA, MO 65453-1664
(573) 885-2501
Mailing address
506 E SPRUCE ST, CHATHAM, IL 62629-1629
(618) 477-2847
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2020029178
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2020029178
CERTIFICATE
MO
Enumeration date
10/30/2020
Last updated
10/30/2020
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