Individual
MRS. KRISTA HARTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 CLUB VILLAGE DR, COLUMBIA, MO 65203-4405
(573) 449-8330
Mailing address
1000 CLUB VILLAGE DR, COLUMBIA, MO 65203-4405
(573) 449-8330
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2007026743
MO
Other
Enumeration date
10/06/2011
Last updated
10/06/2011
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