Individual
ROBERTA MORALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 W 19 TERR, KANSAS CITY, MO 64108
(816) 404-6004
(816) 404-6003
Mailing address
618 SW WESTVIEW DR, GRAIN VALLEY, MO 64029-8427
(816) 404-6004
(816) 404-6003
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
042782
MO
183500000X
Pharmacist
1-11478
KS
Other
Enumeration date
06/25/2014
Last updated
06/25/2014
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