Chad Ullom RPH

NPI 1558648170 - Pharmacist - 183500000X

NPI Details
NPI 1558648170
Gender Male
Enumeration Date 11/10/2011
Last Updated 11/10/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
4330 SHAWNEE MISSION PKWY
STE 380
FAIRWAY KS, 66205-2522, US
Phone (913) 707-9684
Fax (913) 236-8929
Business Location
4330 SHAWNEE MISSION PKWY
STE 380
FAIRWAY KS, 66205-2522, US
Phone (913) 707-9684
Fax (913) 236-8929
Toxanomy
Taxonomy Code 183500000X
License State Missouri
License Number 2006038098
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According to our database, Chad Ullom RPH NPI is 1558648170, taxonomy code is 183500000X and license number is 2006038098, license state is located at Missouri. Chad Ullom RPH physically located at 4330 Shawnee Mission Pkwy, Fairway KS, 66205-2522. NPI Number Chad Ullom RPH has the Individual type.

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1558648170 NPI number is provided on an as is basis without warranty of any kind. 1558648170 is maintained by the National Plan & Provider Enumeration System. The contents of Chad Ullom RPH are for informational purposes only.