Individual
BANAFSHEH SHAHABI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6365 LEWIS DR, PARKVILLE, MO 64152-3699
(816) 505-1708
Mailing address
8007 N HIGHLAND AVE, KANSAS CITY, MO 64118-8289
(816) 888-3017
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2020036167
MO
Other
Enumeration date
12/02/2020
Last updated
12/02/2020
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