Individual
MACKENZIE LANE MORRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
403 S MAIN ST, GALLATIN, MO 64640-1434
(660) 663-7979
(816) 295-2354
Mailing address
403 S MAIN ST, GALLATIN, MO 64640-1434
(660) 663-7979
(816) 295-2354
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2008027918
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2008027918
MISSOURI BOARD OF PHARMACY PHARMACIST LICENSE
MO
Enumeration date
06/25/2020
Last updated
06/25/2020
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