Individual
ASA ISABELLA LINNEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1506 E BROADWAY, COLUMBIA, MO 65201-8078
(573) 449-5366
Mailing address
1088 HWY CC, CAIRO, MO 65239
(573) 424-9136
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2022035800
MO
Other
Enumeration date
12/12/2023
Last updated
12/12/2023
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