Individual
MRS. DEBORAH A BAUMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
1117 MAIN ST, IMPERIAL, MO 63052-2323
(636) 464-1100
(636) 464-1106
Mailing address
3538 SORREL TREE LANE, SAINT LOUIS, MO 63129-2952
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0029116
MO
Other
Enumeration date
09/07/2012
Last updated
03/21/2017
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