Individual
BLAKE WILLIAM BAUMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2301 HOMES ST, KANSAS CITY, MO 64108
(816) 404-1000
Mailing address
408 W 8TH ST APT 505, KANSAS CITY, MO 64105-1525
(913) 909-2698
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
2016021945
MO
Other
Enumeration date
06/29/2017
Last updated
06/29/2017
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