is a Pharmacist in Lees Summit, Missouri. practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for is 1023168309. The last update date is .
's current location address is Po Box 6680, Lees Summit, Missouri. You can contact this provider via phone number 8167770609. The mailing address for is Po Box 6680, Lees Summit, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | Po Box 6680, Lees Summit, Missouri |
| Phone Number | 8167770609 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1023168309 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | Po Box 6680 |
|---|---|
| City | Lees Summit |
| State | Missouri (MO) |
| Post Code | 640646680 |
| Phone Number | 8167770609 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | BK9532222 |
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Definition: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or m |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 34608087 | CO | -- |
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