Individual
DR. MATTHEW BLAINE HARTING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D
Contact information
Practice address
12221 BLUE VALLEY PKWY, OVERLAND PARK, KS 66213-2640
(913) 217-2052
Mailing address
12221 BLUE VALLEY PKWY, OVERLAND PARK, KS 66213-2640
(913) 217-2052
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-12910
KS
183500000X
Pharmacist
2000174382
MO
Other
Enumeration date
05/04/2012
Last updated
05/04/2012
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