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Individual

LAUREN NICHOLE SMIDDY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
8420 N MADISON AVE, T-1177, KANSAS CITY, MO 64155-2777
(816) 436-8711
Mailing address
8420 N MADISON AVE, T-1177, KANSAS CITY, MO 64155-2777

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
1-15398
KS
183500000X
Pharmacist
Primary
2012028250
MO

Other

Enumeration date
04/04/2013
Last updated
04/04/2013
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