Individual
JANIS KAY WYLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1336 NE 106TH TER, KANSAS CITY, MO 64155-1746
(816) 769-7765
Mailing address
1336 NE 106TH TER, KANSAS CITY, MO 64155-1746
(816) 769-7765
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
042529
KS
183500000X
Pharmacist
Primary
1-11277
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
042529
MISSOURI STATE BOARD OF PHARMACY
MO
Enumeration date
07/31/2019
Last updated
11/27/2023
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