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Individual

MR. CHAD ALLEN LOTHARY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARM.D.

Contact information

Practice address
13987 NEW HALLS FERRY RD, FLORISSANT, MO 63033-2943
(314) 229-4424
Mailing address
13987 NEW HALLS FERRY RD, FLORISSANT, MO 63033-2943
(314) 229-4424

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
051.293120
IL
183500000X
Pharmacist
Primary
2007022476
MO

Other

Enumeration date
07/30/2007
Last updated
04/05/2011
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