Individual
MR. JAMES DAN MCLEOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
906 N DOUGLASS ST, MALDEN, MO 63863-1514
(573) 276-2737
(573) 276-2496
Mailing address
906 N DOUGLASS ST, MALDEN, MO 63863-1514
(573) 276-2737
(573) 276-2496
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28979
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60096408
—
MO
Enumeration date
03/30/2007
Last updated
07/09/2007
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