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Individual

MR. CHARLES PHILIP BUMPUS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
R.PH.

Contact information

Practice address
6437 N COSBY AVE, KANSAS CITY, MO 64151-2378
(816) 505-4410
Mailing address
8315 N MARSTON AVE, KANSAS CITY, MO 64151-3715
(816) 436-6430

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
0202004177
VA
183500000X
Pharmacist
Primary
2005036831
MO
183500000X
Pharmacist
IL

Other

Enumeration date
04/18/2007
Last updated
07/08/2007
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