Individual
AMANDA SULLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
11100 NALL AVE, OVERLAND PARK, KS 66211-1205
(405) 401-5148
Mailing address
11100 NALL AVE, OVERLAND PARK, KS 66211-1205
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2010027758
MO
Other
Enumeration date
01/08/2024
Last updated
01/08/2024
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