JERRY LEE STANKEWITZ

OZARK, MO
NPI1164299145
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1835P2201X Pharmacist, Ambulatory Care
(Licence: MO  2006021565)
Enumeration Date2023-12-08
Last Update Date2023-12-08
Business Address
JERRY LEE STANKEWITZ
1675 W SOUTH ST
OZARK, MO 65721-5152
Phone number: 417-631-7138
Mailing Address
JERRY LEE STANKEWITZ
621 W BOBWHITE LN
NIXA, MO 65714-7979
Phone number: 417-631-7138