Individual
COLLEEN MARY REILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8524 W 109TH TER, OVERLAND PARK, KS 66210-1654
(913) 345-1978
Mailing address
8524 W 109TH TER, OVERLAND PARK, KS 66210-1654
(913) 345-1978
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
043408
MO
183500000X
Pharmacist
1-12095
KS
183500000X
Pharmacist
9668
NE
183500000X
Pharmacist
9756
AZ
Other
Enumeration date
01/19/2017
Last updated
01/19/2017
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