Individual
MARK WADLEIGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM. D.
Contact information
Practice address
4000 S BOLGER RD, INDEPENDENCE, MO 64055-6776
(816) 478-3975
Mailing address
4000 S BOLGER RD, INDEPENDENCE, MO 64055-6776
(816) 478-3975
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2001019314
MO
Other
Enumeration date
11/03/2020
Last updated
11/03/2020
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