ELLIS R ODOM

POPLAR BLUFF, MO
NPI1457330219
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: MO  042673)
Enumeration Date2006-01-11
Last Update Date2007-07-08
Business Address
-- ELLIS R ODOM RPH
686 LESTER ST
POPLAR BLUFF, MO 63901-5025
Phone number: 573-686-2411
Mailing Address
-- ELLIS R ODOM RPH
PO BOX 220
POPLAR BLUFF, MO 63902
Phone number: 573-686-2411
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