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NPI Code Detail

MEDICARE: MRS. ANGELA M NEAL BS PHARM

MEDICARE:  MRS. ANGELA M NEAL  BS PHARM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist045290MO

General Provider Information

NPI Number : 1295029239
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ANGELA M NEAL BS PHARM
Provider Business Mailing Address
First Line : 13655 N HWY 5
Second Line :
City : SUNRISE BEACH
State : MO
Zip : 65079-3169
Country : US
Telephone Number : 573-372-8305
Fax Number : 573-372-8308
Provider Business Practice Location Address
First Line : 919 HIGHWAY D
Second Line : T-1914
City : OSAGE BEACH
State : MO
Zip : 65065-3169
Country : US
Telephone Number : 573-348-5963
Fax Number : 573-348-5963
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/07/2011
Last Update Date : 03/20/2025

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Directions to “ MRS. ANGELA M NEAL BS PHARM” Practice Location

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