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Individual

DR. CHARLES BERTAGNOLLI JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARM.D.

Contact information

Practice address
4976 SKYLINE DR, ROELAND PARK, KS 66205-1148
(573) 821-6418
Mailing address
4976 SKYLINE DR, ROELAND PARK, KS 66205-1148
(573) 821-6418

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2018021529
MO

Other

Enumeration date
06/26/2018
Last updated
06/26/2018
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