# MARATHON DPC, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Childrens Mercy Employee Wellness Center Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336586874
- **Authorized official:** CHARLES VANEVERY (MANAGER)
- **Authorized official phone:** (408) 406-9645

## Contact information

- **Practice address:** 2401 GRAND BLVD, SUITE 100, KANSAS CITY, MO 64108-2551
- **Practice address phone:** (816) 982-7930
- **Mailing address:** 2401 GRAND BOULEVARD, SUITE 100, KANSAS CITY, MO 64108

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 183500000X | Pharmacist | 004235 | MO | Yes |

## Other

- **Enumeration date:** 05/23/2013
- **Last updated:** 05/22/2025