Individual
NATHAN MARC BURRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7035 W 75TH ST, OVERLAND PARK, KS 66204-3030
(913) 383-3650
Mailing address
7035 W 75TH ST, OVERLAND PARK, KS 66204-3030
(913) 383-3650
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-14208
KS
183500000X
Pharmacist
2012029725
MO
Other
Enumeration date
11/20/2020
Last updated
11/20/2020
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