Organization
MARATHON DPC, LLC
Active
Other names
Childrens Mercy Employee Wellness Center Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES VANEVERY (MANAGER)
(408) 406-9645
Entity
Organization
Contact information
Practice address
2401 GRAND BLVD, SUITE 100, KANSAS CITY, MO 64108-2551
(816) 982-7930
Mailing address
2401 GRAND BOULEVARD, SUITE 100, KANSAS CITY, MO 64108
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
004235
MO
Other
Enumeration date
05/23/2013
Last updated
05/22/2025
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