Dan Mchan Store In

NPI 1063557874 - Pharmacist - 183500000X

NPI Details
NPI 1063557874
Enumeration Date 02/20/2007
Last Updated 05/06/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name DANNY ROY DANNY
Position INCORPORATOR
Phone (417) 326-7666
Fax (417) 777-8073
Practice Location
103 E BROADWAY
BOLIVAR MO, 65613-1621, US
Phone (417) 326-7666
Fax (417) 777-8073
Business Location
103 E BROADWAY
BOLIVAR MO, 65613-1621, US
Phone (417) 326-7666
Fax (417) 777-8073
Toxanomy
Taxonomy Code 183500000X
License State Missouri
License Number 006087
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According to our database, Dan Mchan Store In NPI is 1063557874, taxonomy code is 183500000X and license number is 006087, license state is located at Missouri. Dan Mchan Store In physically located at 103 E Broadway, Bolivar MO, 65613-1621. NPI Number 1033115704 has the healthcare provider type.

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1063557874 NPI number is provided on an as is basis without warranty of any kind. 1063557874 is maintained by the National Plan & Provider Enumeration System. The contents of Dan Mchan Store In are for informational purposes only.