Individual
DR. HADEI MADISON WITTHAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
13000 S US HIGHWAY 71, GRANDVIEW, MO 64030-2515
(816) 769-5949
Mailing address
920 MAIN ST UNIT 1801, KANSAS CITY, MO 64105-2479
(816) 876-7209
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2021031389
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2021031389
MISSOURI BOARD OF PHARMACY
MO
Enumeration date
09/11/2021
Last updated
09/11/2021
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