Individual
MICHELLE LEIGH AUSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1025 HIGHWAY 72 BYP, FREDERICKTOWN, MO 63645-7326
(573) 783-6000
Mailing address
70 PHEASANT DR, FARMINGTON, MO 63640-7655
(573) 664-6991
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2019028163
MO
Other
Enumeration date
11/07/2019
Last updated
11/07/2019
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