Individual
LISA WAYMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM D.
Contact information
Practice address
522 HOLT DR, LIBERTY, MO 64068-2898
(816) 792-4025
Mailing address
522 HOLT DR, LIBERTY, MO 64068-2898
(816) 792-4025
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH 044218
MO
Other
Enumeration date
04/26/2007
Last updated
07/08/2007
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