Individual
MICHAEL J. DIEKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
924 NE MICHAEL DR, LEES SUMMIT, MO 64086-4940
(816) 525-2529
Mailing address
924 NE MICHAEL DR, LEES SUMMIT, MO 64086-4940
(816) 525-2529
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
11501
KS
183500000X
Pharmacist
Primary
45142
MO
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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