Odom, David Carroll

Odom, David Carroll is an sole proprietor health care provider with primary practice located at 5841 Quail Meadows Dr , Poplar Bluff MO 63901-8542. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Odom, David Carroll can be contacted via phone (573) 686-7238.

Contact Information

Primary practice address
5841 Quail Meadows Dr Poplar Bluff MO 63901-8542
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 42049 Missouri

Profile Details

NPI number 1417122565
LBN Legal business name Odom, David Carroll
Credentials RPH
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 29th, 2008
Last updated May 25th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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