Individual
MRS. STEPHANIE ANN HEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
7117 N PROSPECT AVE, GLADSTONE, MO 64119-1123
(816) 452-7711
(816) 452-9329
Mailing address
5620 N DELTA AVE, KANSAS CITY, MO 64151-2279
(816) 452-7711
(816) 452-9329
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
043868
MO
Other
Enumeration date
04/25/2007
Last updated
08/02/2013
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