Individual
JENNIE LOU MCNELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
11144 RENNER BLVD, LENEXA, KS 66219-9621
(913) 647-4610
Mailing address
1730 HARBOR DR, KEARNEY, MO 64060-8828
(816) 447-7093
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-108088
KS
183500000X
Pharmacist
2008033125
MO
Other
Enumeration date
12/23/2020
Last updated
12/23/2020
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