Individual
MICHELLE HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4120 S JACKSON DR APT 305, INDEPENDENCE, MO 64057-1978
(816) 785-9292
Mailing address
4120 S JACKSON DR APT 305, INDEPENDENCE, MO 64057-1978
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2011024495
MO
Other
Enumeration date
09/19/2011
Last updated
09/19/2011
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