Individual
MICHAEL MOODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2301 HOLMES ST, KANSAS CITY, MO 64108-2640
(816) 404-1000
Mailing address
10036 CHARLOTTE ST, KANSAS CITY, MO 64131-3374
(417) 840-3431
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PI2252
ME
Other
Enumeration date
06/26/2015
Last updated
06/26/2015
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