Organization
CURATORS OF THE UNIVERSITY OF MISSOURI
Active
Other names
UMKC STUDENT HEALTH PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
LISA SOBBA RPH (PIC)
(816) 235-6103
Entity
Organization
Contact information
Practice address
4825 TROOST AVE, STE 115, KANSAS CITY, MO 64110-2030
(816) 235-6103
(816) 235-6565
Mailing address
4825 TROOST AVE, STE 115, KANSAS CITY, MO 64110-2030
(816) 235-6103
(816) 235-6565
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
2004021747
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2635639
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
07/22/2006
Last updated
01/29/2013
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