Individual
AMBER GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2002 MISSOURI BLVD, JEFFERSON CITY, MO 65109
(573) 636-7924
(573) 634-6046
Mailing address
2002 MISSOURI BLVD, JEFFERSON CITY, MO 65109-4717
(573) 636-7924
(573) 634-6046
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2010026494
MO
Other
Enumeration date
09/30/2022
Last updated
09/30/2022
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