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Individual

MR. DALE EUGENE SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
R.PH.

Contact information

Practice address
1575 N. UNIVERSAL AVE, SUITE 100, KANSAS CITY, MO 64120
(816) 245-5700
(816) 245-5702
Mailing address
1212 NE 96TH TER, KANSAS CITY, MO 64155-2149
(816) 734-4536
(816) 245-5702

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
29261
MO

Other

Enumeration date
07/03/2006
Last updated
07/08/2007
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