Individual
EDWARD JOSEPH SMITH III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8100 STATE AVE, KANSAS CITY, KS 66112
(913) 299-1224
Mailing address
16445 CARTER ST, OVERLAND PARK, KS 66085-7877
(913) 991-2169
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-14360
KS
Other
Enumeration date
10/20/2022
Last updated
10/20/2022
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