Organization
KANSAS CITY CANCER CENTERS EAST
Active
Other names
KANSAS CITY CANCER CENTERS EAST
Organization subpart
No
Provider details
NPI number
Authorized official
ALISON FETTER PHARMD (MANGER OF PHARMACY SERVICES)
(913) 541-4651
Entity
Organization
Contact information
Practice address
4881 NE GOODVIEW CIR, LEES SUMMIT, MO 64064-1996
(816) 350-5844
(816) 503-4070
Mailing address
PO BOX 911277, DALLAS, TX 75391-1277
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
2003007587
MO
3336C0003X
Community/Retail Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2635033
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
606093706
—
MO
Enumeration date
08/10/2006
Last updated
04/12/2011
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