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Contact Information

RALEA B DEGRUSON, RPH
800 S ASH
NEVADA, MO64772
 Phone: 417-448-3728
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacist

183500000X
Indicates primary specialty

NPI Profile & details for RALEA B DEGRUSON · (Female)

NPI Number 1821219072
Status Active
Credentials RPH (Registered Pharmacist)
Entity Individual
Enumeration date 05/02/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • MO License # 43831
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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