Individual
BRENDA WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6 E SPRINGFIELD RD, SULLIVAN, MO 63080-1310
(573) 468-6464
(573) 468-3809
Mailing address
6 E SPRINGFIELD RD, SULLIVAN, MO 63080-1310
(573) 468-6464
(573) 468-3809
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2003009272
MO
Other
Enumeration date
02/24/2014
Last updated
02/24/2014
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