Individual
JAMIE ROUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3089
Mailing address
6701 OAK ST, KANSAS CITY, MO 64113-2442
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2015032615
MO
Other
Enumeration date
04/13/2018
Last updated
04/13/2018
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