Individual
MARY LATHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
621 SW 3RD ST, LEES SUMMIT, MO 64063-2212
(816) 524-5084
Mailing address
7315 W 57TH ST, MISSION, KS 66202-2313
(816) 522-0237
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2014021635
MO
Other
Enumeration date
02/10/2022
Last updated
02/10/2022
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