Individual
MR. ERIC EVERETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
5453 W 61ST PL, MISSION, KS 66205-3002
(913) 322-0001
(913) 322-0002
Mailing address
5453 W 61ST PL, MISSION, KS 66205-3002
(913) 322-0001
(913) 322-0002
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
1-10816
KS
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
41576
MO
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
S018016
AZ
Other
Enumeration date
05/14/2012
Last updated
05/14/2012
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