Individual
JEREMY JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM. D.
Contact information
Practice address
4304 HARRISON ST, KANSAS CITY, MO 64110-1626
(314) 922-5113
Mailing address
4304 HARRISON ST, KANSAS CITY, MO 64110-1626
(314) 922-5113
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2014027759
MO
Other
Enumeration date
03/22/2016
Last updated
03/22/2016
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