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Individual

MR. RANDALL L LINDVALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
2323 E 63RD ST, KANSAS CITY, MO 64130-3462
(816) 234-8121
Mailing address
501 SW WINDMILL LN, LEES SUMMIT, MO 64082-4620
(816) 616-9182

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
9786
OK
1835P1300X
Psychiatric Pharmacist
Primary
040912
MO

Other

Enumeration date
09/29/2006
Last updated
07/22/2013
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