Individual
ELVIS TAKU AGBOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
625 SW US HIGHWAY 40, BLUE SPRINGS, MO 64014-3232
(816) 224-4277
Mailing address
310 W 99TH TER, KANSAS CITY, MO 64114-4365
(708) 724-6710
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2020023377
MO
Other
Enumeration date
11/12/2020
Last updated
11/12/2020
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