Individual
HALEY WHITAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
5330 NW 64TH ST, KANSAS CITY, MO 64151-2414
(816) 505-7163
Mailing address
2337 N 63RD ST, KANSAS CITY, KS 66104-2722
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
1-118163
KS
183500000X
Pharmacist
Primary
2024019347
MO
Other
Enumeration date
10/03/2022
Last updated
01/07/2025
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