Organization
SHAWNEE MISSION MEDICAL CENTER INC
Active
Other names
MEDICAL CENTER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE R MARTIN R.PH. (PIC/PHARMACY MANAGER)
(913) 789-3976
Entity
Organization
Contact information
Practice address
9100 W. 74TH ST, SHAWNEE MISSION, KS 66204
(913) 789-3976
(913) 789-6730
Mailing address
9100 W. 74TH ST, SHAWNEE MISSION, KS 66204
(913) 789-3976
(913) 789-6730
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
209764
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100007000B
—
KS
01
—
2027055
PK
—
Enumeration date
12/04/2006
Last updated
07/23/2018
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