Individual
MRS. SANDRA J KOMADINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
10 E HIGHWAY N, WENTZVILLE, MO 63385-5901
(636) 332-2333
Mailing address
14 APPALOOSA CT, WENTZVILLE, MO 63385-4514
(636) 327-3303
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
043680
MO
Other
Enumeration date
10/04/2011
Last updated
10/04/2011
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