Individual
MRS. ROBERTA MITCHELL MICHELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
12221 BLUE VALLEY PKWY, OVERLAND PARK, KS 66213-2640
(913) 217-2052
(913) 217-2059
Mailing address
12221 BLUE VALLEY PKWY, OVERLAND PARK, KS 66213-2640
(913) 217-2052
(913) 217-2059
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
040301
MO
183500000X
Pharmacist
Primary
10210
KS
Other
Enumeration date
03/21/2012
Last updated
03/21/2012
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