Healthcare Provider Details

I. General information

NPI: 1720906498
Provider Name (Legal Business Name): GINA FUEMMELER PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/08/2026
Last Update Date: 07/08/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1515 UNION AVE
MOBERLY MO
65270-9449
US

IV. Provider business mailing address

216 HIGHWAY B
ARMSTRONG MO
65230-2038
US

V. Phone/Fax

Practice location:
  • Phone: 660-269-3010
  • Fax:
Mailing address:
  • Phone: 660-269-3010
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number2014039952
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: