Individual
CHAD LUNDSTRUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1001 S RANGE LINE RD, JOPLIN, MO 64801-5585
(417) 782-4802
Mailing address
1001 S RANGE LINE RD, JOPLIN, MO 64801-5585
(417) 782-4802
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
MO2011033285
MO
Other
Enumeration date
07/15/2014
Last updated
07/15/2014
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