Individual
JACOB RAINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
315 W 75TH ST, KANSAS CITY, MO 64114-5738
(816) 361-4639
Mailing address
110 NW OBRIEN RD, LEES SUMMIT, MO 64063-2111
(816) 654-3342
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2024021931
MO
Other
Enumeration date
07/02/2024
Last updated
07/02/2024
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