NPI 1134573017

Nathan Straeter

Practitioner Pharmacist Caruthersville, MO

Practice location

Address: State Highway 84 West, Caruthersville, MO 63830
Phone: (573) 333-0073

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 2015024636 (MO)

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Registry record

NPI: 1134573017
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Apr 2016
Record last updated: 18 Apr 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.