Dudley, Gwyn Renee
Dudley, Gwyn Renee is an individual health care provider with primary practice located at 1705 E Broadway Ste 100 , Columbia MO 65201-7167. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Dudley, Gwyn Renee can be contacted via phone (573) 817-8527.Contact Information
Primary practice address
1705 E Broadway Ste 100
Columbia MO 65201-7167
Phone: (573) 817-8527
Fax: (573) 449-4246
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 2005007824 | Missouri |
Profile Details
| NPI number | 1063550275 |
|---|---|
| LBN Legal business name | Dudley, Gwyn Renee |
| Credentials | PHARMD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 1st, 2007 |
| Last updated | Jul 7th, 2020 - 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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