Individual
DAN E. CORNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
1506 E BROADWAY, COLUMBIA, MO 65201-8078
(573) 449-5366
(573) 443-7938
Mailing address
13300 N OLD NUMBER 7, COLUMBIA, MO 65202-7644
(573) 256-5071
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
29850
MO
Other
Enumeration date
07/28/2006
Last updated
07/08/2007
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