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Individual

DR. STEPHANIE MORGAN BERRONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARM.D.

Contact information

Practice address
1500 N WESTWOOD BLVD, POPLAR BLUFF, MO 63901-3318
(573) 686-4151
(573) 778-4246
Mailing address
HC 1 BOX 62A, GRANDIN, MO 63943-9601
(573) 660-1133

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
2015020747
MO
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
2015020747
MO

Other

Enumeration date
07/01/2015
Last updated
12/19/2016
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