Individual
CYNTHIA ROSE WALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8551 N BOARDWALK AVE, KANSAS CITY, MO 64154-2547
(816) 741-2214
(816) 741-2335
Mailing address
9112 N OXFORD AVE, KANSAS CITY, MO 64157-7845
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
041114
MO
Other
Enumeration date
11/09/2020
Last updated
11/09/2020
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