Individual
KATIE KALEEN MAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
1100 N KENTUCKY AVE, WEST PLAINS, MO 65775-2029
(417) 256-1793
(417) 256-1753
Mailing address
18 PARKWAY SHOPPING CTR, WEST PLAINS, MO 65775-1840
(417) 256-1793
(417) 256-1784
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
045003
MO
Other
Enumeration date
11/27/2020
Last updated
02/12/2024
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