Individual
MR. RICHARD K MCMAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12137 BRIDGETON SQ, BRIDGETON, MO 63044-2616
(314) 291-5700
Mailing address
3 N HARRIS DR, SAINT PETERS, MO 63376-3504
(636) 397-2169
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
044134
MO
Other
Enumeration date
05/09/2007
Last updated
07/08/2007
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