Individual
JEANNE WHEELER BLOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RPH
Contact information
Practice address
2301 HOLMES ST, KANSAS CITY, MO 64108-2640
(816) 404-2197
(816) 421-1293
Mailing address
2301 HOLMES ST, KANSAS CITY, MO 64108-2640
(816) 404-2197
(816) 421-1293
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2003004927
MO
Other
Enumeration date
09/09/2011
Last updated
09/09/2011
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