Individual
VINCENT CHAVEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4000 CAMBRIDGE ST, KANSAS CITY, KS 66160-8501
(913) 588-2361
Mailing address
701 BERKLEY PKWY APT 2310, KANSAS CITY, MO 64120-1531
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-111536
KS
Other
Enumeration date
07/13/2023
Last updated
07/13/2023
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