Prince, Andrea Elena

Prince, Andrea Elena is an individual health care provider with primary practice located at 3801 S National Ave , Springfield MO 65807-5210. She recently has only one registered license in Pharmacy Service Providers / Ambulatory Care, which is considered as her primary health care specialty. Prince, Andrea Elena can be contacted via phone (417) 269-7566.

Contact Information

Primary practice address
3801 S National Ave Springfield MO 65807-5210
Phone: (417) 269-7566
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Ambulatory Care 1835P2201X 2017031674 Missouri

Profile Details

NPI number 1922652627
LBN Legal business name Prince, Andrea Elena
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2019
Last updated Jul 31st, 2019 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1922652627 NPPES
Missouri Other 2017031674 MISSOURI PHARMACIST LICENSE

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