Individual
BROOKE BOAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
16100 W 135TH ST, OLATHE, KS 66062-1517
(913) 780-9449
Mailing address
1205 NW 72ND ST, KANSAS CITY, MO 64118-2787
(785) 766-5034
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
114362
KS
Other
Enumeration date
11/24/2007
Last updated
11/24/2007
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