Individual
MRS. LUANNE WOOTEN MCCLURE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1410 N BLUFF ST, FULTON, MO 65251-2350
(573) 592-7030
Mailing address
1410 N BLUFF ST, FULTON, MO 65251-2350
(573) 592-7030
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2002020495
MO
Other
Enumeration date
11/13/2011
Last updated
11/13/2011
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