Individual
BRAD J KRAUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1900 E LANGSFORD RD, LEES SUMMIT, MO 64063-3600
(816) 554-9500
Mailing address
57 L ST, LAKE LOTAWANA, MO 64086-9440
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
042105
MO
Other
Enumeration date
12/02/2020
Last updated
12/02/2020
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