Individual
NICOLA LYN DIMARCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1700 N 291 HWY, HARRISONVILLE, MO 64701-1218
(816) 884-2040
(816) 380-5237
Mailing address
4312 SW GULL POINT DR, LEES SUMMIT, MO 64082-4686
(816) 679-7663
(816) 380-5237
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
044031
MO
Other
Enumeration date
11/03/2020
Last updated
11/03/2020
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