Individual
JULIANNA M. BERGHAUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
806 VALLEY CREEK DR, FARMINGTON, MO 63640-1969
(573) 747-1191
(573) 747-1197
Mailing address
806 VALLEY CREEK DR, FARMINGTON, MO 63640-1969
(573) 330-7478
(573) 747-1197
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
042893
MO
Other
Enumeration date
04/10/2018
Last updated
04/10/2018
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