Individual
DR. MICHAEL LOU WHITLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
3645 FREDERICK AVENUE, SAINT JOSEPH, MO 64506
(816) 232-5342
(816) 232-2635
Mailing address
3645 FREDERICK AVENUE, SAINT JOSEPH, MO 64506
(816) 232-5342
(816) 232-2635
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
041779
MO
Other
Enumeration date
09/21/2011
Last updated
09/21/2011
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