Individual
MRS. LAURA M OAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2305 BARRETT PLACE CT, BALLWIN, MO 63021
(314) 822-0770
Mailing address
2305 BARRETT PLACE CT, BALLWIN, MO 63021-7829
(314) 822-0770
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2004002633
MO
Other
Enumeration date
10/17/2011
Last updated
10/17/2011
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