Lee Anna Moutray

NPI #1114519162 in De Soto, Missouri

Provider Information

NPI Number: 1114519162
Entity Type: Individual
Name: Lee Anna Moutray
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Feb 10, 2021
Last Updated: Feb 10, 2021

Practice Location

Address: 2020 ROCK RD
City: De Soto
State: Missouri
ZIP Code: 63020-1052
Phone: (636) 586-1766

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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