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Organization
MARATHON DPC, LLC
Active
Organization
MARATHON DPC, LLC
Active
Other names
Childrens Mercy Employee Wellness Center Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES VANEVERY (MANAGER)
(408) 406-9645
Entity
Organization
Contact information
Practice address
2401 GRAND BLVD, SUITE 100, KANSAS CITY, MO 64108-2551
(816) 982-7930
Mailing address
2401 GRAND BOULEVARD, SUITE 100, KANSAS CITY, MO 64108
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
004235
MO
Other
Enumeration date
05/23/2013
Last updated
05/22/2025
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