Individual
CONNOR MICHAEL ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
17002 NE 121ST TER, KEARNEY, MO 64060-7449
(816) 810-2590
Mailing address
17002 NE 121ST TER, KEARNEY, MO 64060-7449
(816) 810-2590
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2019037447
MO
Other
Enumeration date
07/21/2020
Last updated
07/21/2020
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