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Organization

WELLNESS CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHAWNA WILLIAMS PHARM D (PIC)
(816) 453-1050
Entity
Organization

Contact information

Practice address
4260 N OAK TRFY, KANSAS CITY, MO 64116-4541
(816) 453-1050
(816) 453-3102
Mailing address
4260 N OAK TRFY, KANSAS CITY, MO 64116-4541

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
006443
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2634954
OTHER ID NUMBER-COMMERCIAL NUMBER
Enumeration date
07/22/2006
Last updated
08/22/2020
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