Individual
SAMANTHA MICHELLE EHRESMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
105 S OAK ST, NEVADA, MO 64772-3436
(417) 667-7802
Mailing address
13006 W 116TH ST, OVERLAND PARK, KS 66210-3523
(913) 742-0263
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2021032471
MO
Other
Enumeration date
08/12/2021
Last updated
08/12/2021
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