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Individual

MRS. JANE ANN MULLINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RPH

Contact information

Practice address
1018 N JESSE JAMES RD, EXCELSIOR SPRINGS, MO 64024-1202
(816) 637-5555
(816) 637-5701
Mailing address
1018 N JESSE JAMES RD, EXCELSIOR SPRINGS, MO 64024-1202
(816) 637-5555
(816) 637-5701

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
044641
MO
183500000X
Pharmacist
1-12530
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
600199202
MO
Enumeration date
03/09/2010
Last updated
03/09/2010
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