Individual
JANELLE BOUSLOG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
4801 E LINWOOD BLVD, KANSAS CITY, MO 64128-2226
(816) 922-2340
Mailing address
4801 E LINWOOD BLVD, KANSAS CITY, MO 64128-2226
(816) 922-2340
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
22050
IA
Other
Enumeration date
08/02/2013
Last updated
02/20/2021
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