Organization
MEDS TO LIVE BY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TIFFANY CHAWNTAY CORYELL RPH (PHARMACIST)
(417) 861-1800
Entity
Organization
Contact information
Practice address
1134 N. SCARLETT WAY, SPRINGFIELD, MO 65802
(417) 861-1800
(417) 771-5470
Mailing address
1134 N. SCARLETT WAY, SPRINGFIELD, MO 65802
(417) 861-1800
(417) 771-5470
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
—
—
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
—
—
Other
Enumeration date
11/21/2018
Last updated
11/21/2018
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