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Individual

DOUGLAS ZIMMERMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
21 N 12TH ST, KANSAS CITY, KS 66102-5161
(913) 371-0077
(913) 371-2802
Mailing address
21 N 12TH ST, KANSAS CITY, KS 66102-5161
(913) 371-0077
(913) 371-2802

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-15767
KS
183500000X
Pharmacist
15044
NE
183500000X
Pharmacist
16586
OK
183500000X
Pharmacist
2015042262
MO

Other

Enumeration date
11/25/2017
Last updated
11/25/2017
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