Organization
FOUR B CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL HALLIWELL RPH (DIRECTOR OF PHARMACY & WHOLE HEALTH)
(913) 573-1254
Entity
Organization
Contact information
Practice address
6950 MISSION ROAD, PRAIRIE VILLAGE, KS 66208
(913) 362-3556
Mailing address
5300 SPEAKER RD, KANSAS CITY, KS 66106-1050
(913) 573-1254
Taxonomy
Speciality
Code
Description
License number
State
261QC1800X
Corporate Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/22/2009
Last updated
05/22/2009
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