Individual
ANGELA STATHOPOULOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5110 N OAK TRFY, KANSAS CITY, MO 64118-4621
(816) 452-7401
Mailing address
6005 NW 104TH TER, KANSAS CITY, MO 64154-1792
(816) 803-5860
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
044492
MO
Other
Enumeration date
11/02/2020
Last updated
11/02/2020
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