Individual
RANDY CHARLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
13511 E 51ST ST, KANSAS CITY, MO 64133-2633
(816) 353-8316
Mailing address
13511 E 51ST ST, KANSAS CITY, MO 64133-2633
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
028704
MO
Other
Enumeration date
07/21/2008
Last updated
07/21/2008
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