Individual
SADIE ENDICOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13844 COUNTY ROAD 210, JASPER, MO 64755-8295
(417) 437-0119
Mailing address
13844 COUNTY ROAD 210, JASPER, MO 64755-8295
(417) 437-0119
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-16143
KS
Other
Enumeration date
02/07/2014
Last updated
02/07/2014
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