NPI 1063153914
Dedicated Missouri Holding, LLC
Practice location
- Address
- 4400 E 39th St, Kansas City, MO 64128-2818
- Phone
- (816) 791-7177
- Fax
- (816) 791-7190
- Mailing address
- 1395 NW 167th St, Miami, FL 33169-5710
Authorised official
- Name
- Mary Chen
- Title
- Authorized Official
- Phone
- (305) 628-6117
Registered specialties
Non-Pharmacy Dispensing Site
Primary
Registry record
- NPI
- 1063153914
- Entity type
- Organization
- NPI issued
- 5 Apr 2022
- Record last updated
- 5 Apr 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.