Individual
JUSTIN DAVID GREENHAGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1191 W KANSAS ST, LIBERTY, MO 64068-2281
(816) 781-9347
Mailing address
1191 W KANSAS ST, LIBERTY, MO 64068-2281
(816) 781-9347
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2015025598
MO
Other
Enumeration date
07/25/2015
Last updated
07/25/2015
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