Individual
COZZETTA OLIVER-OMORODION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4101 S 4TH ST, LEAVENWORTH, KS 66048-5014
(913) 682-2000
Mailing address
4101 S 4TH ST, LEAVENWORTH, KS 66048-5014
(913) 682-2000
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-13298
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05
—
KS
Enumeration date
01/16/2023
Last updated
01/17/2023
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