JONATHAN DAVID LISS

BRANSON, MO
NPI1467162347
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: MO  2022343890)
Enumeration Date2022-12-01
Last Update Date2022-12-01
Business Address
JONATHAN DAVID LISS
210 HWY 165
BRANSON, MO 65616-3464
Phone number: 417-339-3996
Mailing Address
JONATHAN DAVID LISS
354 MAYNARD RD
NIXA, MO 65714-7267
Phone number: 417-693-3266