Mary Farris
NPI #1104997915 in Poplar Bluff, Missouri
Provider Information
- NPI Number
- 1104997915
- Entity Type
- Individual
- Name
- Mary Farris
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Pharmacist
- Enumeration Date
- Nov 13, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1875 N WESTWOOD BLVD
- City
- Poplar Bluff
- State
- Missouri
- ZIP Code
- 63901-2833
- Phone
- (573) 785-1461
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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