BOBBY LEAVORN ETCHASON

ARNOLD, MO
NPI1801913611
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: MO  029042)
Additional Taxonomies183500000X Pharmacist
Enumeration Date2007-03-25
Last Update Date2007-07-08
Business Address
BOBBY LEAVORN ETCHASON R.PH.
1253 WATER TOWER PL
ARNOLD, MO 63010-2142
Phone number: 636-282-0803
Mailing Address
BOBBY LEAVORN ETCHASON R.PH.
4446 KERTH CIRCLE XING
SAINT LOUIS, MO 63128-3131
Phone number: 314-892-1792
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