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Organization

HEART OF AMERICA PHARMACY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. BRIAN KILLINGSWORTH (PHARMACY MANAGER/CEO)
(913) 703-5905
Entity
Organization

Contact information

Practice address
4338 E 142ND ST, GRANDVIEW, MO 64030
(844) 780-4279
(844) 781-4279
Mailing address
4338 E 142ND ST, GRANDVIEW, MO 64030-3035
(844) 780-4279
(844) 781-4279

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
333600000X
Pharmacy
Primary
3336C0003X
Community/Retail Pharmacy

Other

Enumeration date
03/23/2016
Last updated
08/28/2018
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