Individual
SKANDER YALAOUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM. D
Contact information
Practice address
735 W STADIUM BLVD, JEFFERSON CITY, MO 65109-4753
(573) 893-1079
(573) 658-9385
Mailing address
735 W STADIUM BLVD, JEFFERSON CITY, MO 65109-4753
(573) 893-1079
(573) 658-9385
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2013027408
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2013027408
MISSOURI BOARD OF PHARMACY--PHARMACIST LICENSE NUMBER
MO
Enumeration date
08/04/2014
Last updated
08/04/2014
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