Individual
JAIME MOTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM. D.
Contact information
Practice address
808 HUNTER AVE, SUITE 1, SIKESTON, MO 63801-2248
(573) 475-1900
Mailing address
808 HUNTER AVE, SIKESTON, MO 63801-2248
(573) 475-1900
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2007010190
MO
Other
Enumeration date
01/29/2015
Last updated
01/29/2015
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