Individual
LISA BUCHHOLZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
111 OAK ST, BONNER SPRINGS, KS 66012-1049
(913) 596-0159
Mailing address
4114 N 97TH ST, KANSAS CITY, KS 66109-3211
(785) 550-2766
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
0017618
CO
183500000X
Pharmacist
Primary
1-14195
KS
183500000X
Pharmacist
2011011745
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1D043533DE
—
KS
Enumeration date
05/15/2015
Last updated
05/15/2015
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