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Individual

DR. MICHAEL EDWARD PATTERSON III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
8660 VETERANS MEMORIAL PKWY, O FALLON, MO 63366-7537
(636) 978-3568
Mailing address
8660 VETERANS MEMORIAL PKWY, O FALLON, MO 63366-7537

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
051303379
IL
183500000X
Pharmacist
Primary
2020032441
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
051303379
LICENCED PHARMACIST IL
IL
01
2020032441
REGISTERED PHARMACIST MO
MO
Enumeration date
06/10/2021
Last updated
06/10/2021
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