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Organization

SHAWNEE MISSION MEDICAL CENTER INC

Active
Other names
Shawnee Mission Home Infusion
Organization subpart
No

Provider details

NPI number
Authorized official
PAMELA CLARK (PHARMACY DIRECTOR)
(913) 676-2284
Entity
Organization

Contact information

Practice address
9100 W 74TH ST, SHAWNEE MISSION, KS 66204-4004
(913) 676-2281
(913) 789-3175
Mailing address
9100 W. 74TH ST, SHAWNEE MISSION, KS 66204-4004
(913) 676-2281
(913) 789-3175

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0004X
Compounding Pharmacy
3336H0001X
Home Infusion Therapy Pharmacy
Primary
2-09756
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100093850A
KS
01
2131981
PK
Enumeration date
07/19/2011
Last updated
09/19/2025
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