Individual
SHANA ARCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
10421 BALLENTINE ST, OVERLAND PARK, KS 66214-3046
(618) 267-1634
Mailing address
10421 BALLENTINE ST, OVERLAND PARK, KS 66214-3046
(618) 267-1634
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-17079
KS
Other
Enumeration date
04/29/2021
Last updated
04/29/2021
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