# FOUR B CORP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417100900
- **Authorized official:** MICHAEL HALLIWELL RPH (DIRECTOR OF PHARMACY & WHOLE HEALTH)
- **Authorized official phone:** (913) 573-1254

## Contact information

- **Practice address:** 9550 BLUE RIDGE, KANSAS CITY, MO 64134-1338
- **Practice address phone:** (816) 761-6660
- **Mailing address:** 5300 SPEAKER RD, KANSAS CITY, KS 66106-1050
- **Mailing address phone:** (913) 573-1254

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1800X | Corporate Health Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 10/28/2008
- **Last updated:** 10/28/2008