Individual
DILLON WESLEY JAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1104 S 25TH ST, BETHANY, MO 64424-2612
(660) 425-8171
Mailing address
7814 SE MAGGIE RD, POLO, MO 64671-9301
(816) 605-3254
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2022029730
MO
Other
Enumeration date
08/30/2023
Last updated
08/30/2023
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