Organization
FOUR B CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL HALLIWELL RPH (DIRECTOR OF PHARMACY & WHOLE HEALTH)
(913) 573-1254
Entity
Organization
Contact information
Practice address
12220 S US HIGHWAY 71, GRANDVIEW, MO 64030-1130
(816) 761-8767
Mailing address
5300 SPEAKER RD, KANSAS CITY, KS 66106-1050
(913) 573-1254
Taxonomy
Speciality
Code
Description
License number
State
261QC1800X
Corporate Health Clinic/Center
Primary
—
—
Other
Enumeration date
10/28/2008
Last updated
10/28/2008
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