Individual
SCOTT STEPHEN SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
206 N MAIN ST, BROOKFIELD, MO 64628-1644
(660) 258-2122
Mailing address
206 N MAIN ST, BROOKFIELD, MO 64628-1644
(660) 258-2122
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
041870
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041870
PHARMACIST
MO
Enumeration date
03/06/2007
Last updated
07/08/2007
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