Individual
DR. MATTHEW LOGAN WOLF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
4801 E LINWOOD BLVD, KANSAS CITY, MO 64128-2226
(816) 861-4700
Mailing address
700 W 43RD ST APT 1026, KANSAS CITY, MO 64111-4899
(630) 347-5336
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2011027378
MO
Other
Enumeration date
01/19/2012
Last updated
01/19/2012
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