Individual
BRANDI M WELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 302-3674
Mailing address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
Taxonomy
Speciality
Code
Description
License number
State
1835N1003X
Nutrition Support Pharmacist
2018028872
MO
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
2018028872
MO
1835P0200X
Pediatric Pharmacist
Primary
2018028872
MO
1835P2201X
Ambulatory Care Pharmacist
2018028872
MO
Other
Enumeration date
08/22/2019
Last updated
08/22/2019
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