Individual
JAMES WALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5805 N POLK DR, KANSAS CITY, MO 64151-2691
(816) 505-3560
(816) 505-3560
Mailing address
8001 N. LINCOLN AVE, SUITE 800, SKOKIE, IL 60077-3695
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
041455
MO
183500000X
Pharmacist
1-15107
KS
183500000X
Pharmacist
27680
TX
Other
Enumeration date
06/05/2012
Last updated
06/05/2012
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