Individual
SILAS MOGONDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9011 RENNER BLVD APT 2901, LENEXA, KS 66219-3027
(913) 963-8670
Mailing address
8701 JOHNSON DR, MERRIAM, KS 66202-2150
(913) 789-9275
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
1-106833
KS
Other
Enumeration date
07/15/2019
Last updated
07/15/2019
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