Individual
JOSEPH RANDALL WOHLSTADTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
519 SOUTH TRUMAN BLVD., FESTUS, MO 63029
(636) 937-3641
(636) 937-6124
Mailing address
519 SOUTH TRUMAN BLVD., FESTUS, MO 63029
(636) 937-3641
(636) 937-6124
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
028612
MO
Other
Enumeration date
10/19/2011
Last updated
10/19/2011
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