Individual
MOLLY RICHELLE DERRYBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
518 MAIN ST, CABOOL, MO 65689-8104
(417) 962-3133
Mailing address
518 MAIN ST, CABOOL, MO 65689-8104
(417) 962-3133
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2015020508
MO
Other
Enumeration date
05/10/2023
Last updated
05/10/2023
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