Individual
MICHAEL MAYABI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
11162 RENNER BLVD, LENEXA, KS 66219-9621
(800) 360-0520
Mailing address
11162 RENNER BLVD, LENEXA, KS 66219-9621
(800) 360-0520
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
116490
KS
Other
Enumeration date
02/21/2019
Last updated
02/21/2019
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