Individual
MICHELLE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2203 PATSY LN, EXCELSIOR SPRINGS, MO 64024-7303
(816) 637-4900
(800) 259-2226
Mailing address
520 N CLARK ST, LAWSON, MO 64062-9369
(816) 204-4835
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
043936
MO
Other
Enumeration date
11/03/2020
Last updated
11/03/2020
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