Individual
JEROME WHEELER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3002 PEAR ST, SAINT JOSEPH, MO 64503-1223
(816) 901-9932
(806) 901-9944
Mailing address
3606 BECK RD, SAINT JOSEPH, MO 64506-2275
(816) 901-9932
(806) 901-9944
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
042968
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
600024926
—
MO
Enumeration date
07/25/2016
Last updated
02/18/2022
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