Etchason, Bobby Leavorn

Etchason, Bobby Leavorn is an individual health care provider with primary practice located at 1253 Water Tower Pl , Arnold MO 63010-2142. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Etchason, Bobby Leavorn can be contacted via phone (636) 282-0803.

Contact Information

Primary practice address
1253 Water Tower Pl Arnold MO 63010-2142
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 029042 Missouri
Pharmacy Service Providers / Pharmacist 183500000X Illinois

Profile Details

NPI number 1801913611
LBN Legal business name Etchason, Bobby Leavorn
Credentials R.PH.
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2007
Last updated Jul 8th, 2007 - about 17 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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