Individual
JESSE MERTENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
1536 E 23RD ST S, INDEPENDENCE, MO 64055-1657
(816) 252-0752
Mailing address
1536 E 23RD ST S, INDEPENDENCE, MO 64055-1657
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2012027500
MO
Other
Enumeration date
04/15/2013
Last updated
04/15/2013
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