Individual
MR. EDWARD LEWIS BOLES JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
358 E HIGHWAY 69, KANSAS CITY, MO 64119-3117
(816) 413-0079
(816) 413-0687
Mailing address
358 E HIGHWAY 69, KANSAS CITY, MO 64119-3117
(816) 413-0079
(816) 413-0687
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
MO42974
MO
Other
Enumeration date
11/15/2011
Last updated
11/15/2011
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