Individual
JUSTIN ERIC TEETER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1150 US HIGHWAY 60 E, REPUBLIC, MO 65738-1580
(417) 732-1476
(417) 732-6828
Mailing address
1150 US HIGHWAY 60 E, REPUBLIC, MO 65738-1580
(417) 732-1476
(417) 732-6828
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2002027587
MO
Other
Enumeration date
11/05/2020
Last updated
11/05/2020
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