Individual
DR. SCOTT MICHAEL HALVORSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
20255 W 154TH ST, OLATHE, KS 66062-7055
(913) 782-8756
Mailing address
20255 W 154TH ST, OLATHE, KS 66062-7055
(913) 782-8756
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
115547
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
115547
PHARMACY LICENSE NUMBER
KS
Enumeration date
11/12/2011
Last updated
11/12/2011
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