Individual
MRS. SUSAN BETH YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3845 BROADWAY ST, KANSAS CITY, MO 64111-2507
(816) 561-7620
Mailing address
401 W 132ND TER, KANSAS CITY, MO 64145-1595
(816) 943-3467
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
029056
MO
183500000X
Pharmacist
1-09785
KS
Other
Enumeration date
10/03/2011
Last updated
10/03/2011
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