Individual
CARISSA POPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD, MSLD
Contact information
Practice address
1000 E 24TH ST, KANSAS CITY, MO 64108-2776
(816) 512-7479
Mailing address
237 W 4TH ST APT 403, KANSAS CITY, MO 64105-8306
(952) 484-6262
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2023025001
MO
183500000X
Pharmacist
P10418
ID
Other
Enumeration date
08/04/2023
Last updated
08/04/2023
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