Mallory Sierra Gardner, Pharm.D
Pharmacist in Brookfield, MO. Individual provider (NPI-1).
NPI number1558037853
StatusActive
Last updated in NPPESAug 18, 2021
Details
- NPI
- 1558037853
- Entity type
- Individual (NPI-1)
- Name
- Mallory Sierra Gardner
- Credential
- Pharm.D
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 18, 2021
- Certification date
- Aug 18, 2021
- Last updated
- Aug 18, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 2021032276 | MO | Yes |
Practice location
712 S Main StBrookfield, MO 64628-2307
Phone 660-258-2122
Mailing address
712 S Main StBrookfield, MO 64628-2307
Phone 660-258-2122
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