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Individual

MICHAEL COLGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
7739 STATE AVE, KANSAS CITY, KS 66112-2819
(913) 788-8168
Mailing address
5347 JUNIPER DR, ROELAND PARK, KS 66205-2226
(913) 526-2801

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-109717
KS
183500000X
Pharmacist
2019036975
MO

Other

Enumeration date
08/12/2020
Last updated
08/12/2020
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